Is I86.3 a billable ICD-10-CM code?

Yes. I86.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I86.3 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).

What cannot be coded together with I86.3?

I86.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

I86.3

I86.3 — Vulval varices

Billable / specific codeICD-10-CM

I86.3 is a billable, specific ICD-10-CM code for vulval varices. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

vulval varices complicating childbirth and the puerperium (O87.8)
vulval varices complicating pregnancy (O22.1-)

Risk adjustment

I86.3 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.

Medicare coverage

I86.3 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies

How I86.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I86.3.

Varicocele›perineum
Varix›labia(majora)
Varix›perineum
Varix›vulva
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›varicose›perineum
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›varicose›vulva
Varicose›ulcer›perineum

Related codes at this level

Codes that share I86. If I86.3 is not quite right, the correct code is usually one of these.

Questions about I86.3

Is I86.3 a billable ICD-10-CM code?: Yes. I86.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I86.3 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).
What cannot be coded together with I86.3?: I86.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.