I86.8 vs J34.8211

I86.8 (Varicose veins of other specified sites) compared with J34.8211 (External nasal valve collapse, static), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because J34.8211 lists I86.8 under Excludes2, which marks them as distinct conditions.

Official rule

What is different?

The conditions named and chapter.I86.8 is “Varicose veins of other specified sites”; J34.8211 is “External nasal valve collapse, static”. I86.8 sits in I00-I99 — Diseases of the Circulatory System (I00-I99); J34.8211 in J00-J99 — Diseases of the Respiratory System (J00-J99).

Registry fact

Can these codes be reported together?

Yes, when both are documented.J34.8211 lists I86.8 under Excludes2: “varicose ulcer of nasal septum (I86.8)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. I86.8 carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.J34.8211’s tabular entry: “varicose ulcer of nasal septum (I86.8)”. The note covers I86.8.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

No.Both are billable codes, and neither contains the other.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

J34.8211

External nasal valve collapse, static

↔

I86.8

Varicose veins of other specified sites

What we found

Yes, when both are documented.J34.8211 carries an Excludes2 note covering I86.8: “varicose ulcer of nasal septum (I86.8)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2 Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

Section I.A.12.b — Excludes2 · applies to: Excludes2
A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

	I86.8Varicose veins of other specified sites	J34.8211External nasal valve collapse, static
Billing status	Billable	Billable
Classification	I00-I99 — Diseases of the Circulatory System (I00-I99)	J00-J99 — Diseases of the Respiratory System (J00-J99)
Definition	Varicose veins of other specified sites is a billable ICD-10-CM diagnosis code (I86.8).	External nasal valve collapse, static is a billable ICD-10-CM diagnosis code (J34.8211).
Includes	Varicose ulcer of nasal septum	Fixed narrowing of the caudal septum, lower lateral cartilage, alar rim and nasal sill
Excludes1	varicose veins of unspecified site (I83.9-)	—
Excludes2	retinal varices (H35.0-)	varicose ulcer of nasal septum (I86.8)
Code first	—	underlying cause, such as: deviated nasal septum (J34.2)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources