Is I85.1 a billable ICD-10-CM code?

No. I85.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I85.1 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89).

I85.1

I85.1 — Secondary esophageal varices

Non-billable headerICD-10-CM

I85.1 is a non-billable header ICD-10-CM code for secondary esophageal varices. It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

underlying disease

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Esophageal varices secondary to alcoholic liver disease
Esophageal varices secondary to cirrhosis of liver
Esophageal varices secondary to schistosomiasis
Esophageal varices secondary to toxic liver disease

Risk adjustment

I85.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead I85.1

2 child codes. Green means billable.

Related codes at this level

Codes that share I85. If I85.1 is not quite right, the correct code is usually one of these.

I85.0Esophageal varices

Questions about I85.1

Is I85.1 a billable ICD-10-CM code?: No. I85.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I85.1 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89).