I86.1

I86.1: Scrotal varices

Billable / specific codeICD-10-CM

I86.1 is a billable, specific ICD-10-CM code for scrotal varices. It is valid for submission on a claim.

Check I86.1 with the rest of the claim: free scrubber

Inclusion terms

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

Varicocele

Excludes1 inherited from the categories above I86.1

A category’s note binds every code beneath it.

Written on I86: Varicose veins of other sites

varicose veins of unspecified site (I83.9-)

Excludes2 inherited from the categories above I86.1

Not part of this code, but both may be coded when both are present.

Written on I86: Varicose veins of other sites

retinal varices (H35.0-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

I86.1 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56697Billing and Coding: Non-Invasive Vascular Studies
A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
A57636Billing and Coding: Duplex Scanning

Alphabetic index entries that lead here

Varicocele(scrotum) (thrombosed)
Varicocele›spermatic cord(ulcerated)
Varix›scrotum(ulcerated)
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›scrotum›varicose
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›varicose›scrotum
Varicose›ulcer›scrotum

Code history

Unchanged in every release from FY2024 to FY2027.