I89.0 — Lymphedema, not elsewhere classified
I89.0 is a billable, specific ICD-10-CM code for lymphedema, not elsewhere classified. 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.
- 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
Risk adjustment
I89.0 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
I89.0 is named in 15 Medicare coverage policies — 14 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How I89.0 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 I89.0.
- 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
Related codes at this level
Codes that share I89. If I89.0 is not quite right, the correct code is usually one of these.
Questions about I89.0
- Is I89.0 a billable ICD-10-CM code?
- Yes. I89.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I89.0 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 I89.0?
- I89.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.