I86.1
Scrotal varices
I86.1 (also written I861) is a billable ICD-10-CM diagnosis code for scrotal varices. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 6 codes in category I86 (Varicose veins of other sites). The Alphabetic Index lists it under 6 entries. Its coding notes include 1 Excludes1 entry and 11 Excludes2 entries.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (10 notes)
- 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, 2026Inclusion terms
Conditions classified to this code.
- Varicocele
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 6 entries
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative, scrotum, varicose
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative, varicose (lower limb, any part), scrotum
- Varicocele (scrotum) (thrombosed)
- Varicocele (scrotum) (thrombosed), spermatic cord (ulcerated)
- Varicose, ulcer (lower limb, any part), scrotum
- Varix (lower limb), scrotum (ulcerated)