I86.3 vs O22.1
I86.3 (Vulval varices) compared with O22.1 (Genital varices in pregnancy), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. I86.3 carries an Excludes1 note covering O22.1: “vulval varices complicating pregnancy (O22.1-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| I86.3Vulval varices | O22.1Genital varices in pregnancy | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Vulval varices is a billable ICD-10-CM diagnosis code (I86.3). | Genital varices in pregnancy is a non-billable ICD-10-CM category code (O22.1). |
| Includes | — | Perineal varices in pregnancy Vaginal varices in pregnancy Vulval varices in pregnancy |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources