Alphabetic Index FY2027

I85.01

Esophageal varices with bleeding

FY2027Chapter 9: Diseases of the circulatory system/I80–I89 Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified

BillableComplete code, valid to report
Care settingsHome Health Primary · MMTA - Cardiac and CirculatoryHospital MCC

I85.01 (also written I8501) is a billable ICD-10-CM diagnosis code for esophageal varices with bleeding. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category I85 (Esophageal varices). The Alphabetic Index lists it under 2 entries. Its coding notes include a Use additional code instruction and 10 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Inherited from I85 Esophageal varices
  • code to identify:
    • alcohol abuse and dependence (F10.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (10 notes)
Inherited from Chapter 9 Diseases of the circulatory system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Cardiac and Circulatory clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital MCC

Counts as a major complication or comorbidity (MCC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 80 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries