I89.0
I89.0: Lymphedema, not elsewhere classified
Billable / specific codeICD-10-CM
I89.0 is a billable, specific ICD-10-CM code for lymphedema, not elsewhere classified. It is valid for submission on a claim.
Check I89.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- postmastectomy lymphedema (I97.2)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Elephantiasis (nonfilarial) NOS
- Lymphangiectasis
- Obliteration, lymphatic vessel
- Praecox lymphedema
- Secondary lymphedema
Excludes1 inherited from the categories above I89.0
A category’s note binds every code beneath it.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I89.0 is named in 15 Medicare coverage policies: 14 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52993Billing and Coding: Peripheral Venous Ultrasound
- A52996Billing and Coding: Routine Foot Care
- A53057Billing and Coding: Home Health Occupational Therapy
Alphabetic index entries that lead here
- Elephantiasis(nonfilarial)
- Lymphangiectasis
- Lymphangiectatic elephantiasis, nonfilarial
- Lymphectasia
- Compression›lymphatic vessel
- Dilatation›lymphatic vessel
- Edema, edematous›lymphatic
- Elephantiasis›glandular
- Elephantiasis›lymphangiectatic
- Elephantiasis›lymphatic vessel
- Elephantiasis›scrotum(nonfilarial)
- Elephantiasis›streptococcal
Code history
Unchanged in every release from FY2024 to FY2027.