I85.00
I85.00: Esophageal varices without bleeding
Billable / specific codeICD-10-CM
I85.00 is a billable, specific ICD-10-CM code for esophageal varices without bleeding. It is valid for submission on a claim.
Check I85.00 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Esophageal varices NOS
Risk adjustment
I85.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 63 Chronic Liver Failure/End-Stage Liver Disorders0.962 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
I85.00 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56461Billing and Coding: Endoscopy by Capsule
- A56531Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin® LAR Depot)
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Varix›esophagus(idiopathic) (primary) (ulcerated)
Code history
Unchanged in every release from FY2024 to FY2027.