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I83.893 ICD-10-CM Code: Varicose veins of bilateral lower extremities with other complications

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)
  • MS-DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)
  • MS-DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I83.893 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on I83.893 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from I83

Coder workflow for I83.893

MedCoder structured workflow — derived from this code’s own official record

Before you code I83.893

  1. Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: bilateral). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).

    See the relationships section · Guide: Laterality coding →

  2. I83.893’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

Choose the right path

  1. Is the side documented?
    Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
    No → Use the unspecified-side code only when the record states no side; a query is the alternative.

Consider I83.893. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Laterality
Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes2 — not part of I83.893(2 notes)

    Coding workflow: The conditions named in this note are not included in I83.893. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareO22.0, O87.4

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The record documents the condition on one side only.

Coding question: Which code in this family applies?

Path: Select the sibling code for the documented side.

Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is I83.893 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse I83.893 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of I83.893 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • I83.899— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Varicose veins of unspecified lower extremity with other complications” takes I83.899; specificity in the record moves it back here.

    Full comparison: I83.893 vs I83.899 →

  • O22.0— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of varicose veins complicating pregnancy adds O22.0; it is not part of this code and both may be reported when both are documented.

    Full comparison: I83.893 vs O22.0 →

  • O87.4— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of varicose veins complicating the puerperium adds O87.4; it is not part of this code and both may be reported when both are documented.

    Full comparison: I83.893 vs O87.4 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Varicose veins of bilateral lower extremities with other complications is a billable ICD-10-CM diagnosis code (I83.893).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • Age-restricted: the Medicare Code Editor lists this as an adult (age 15-124) diagnosis; other ages are presumed incorrect.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name I83.893 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: I87.3 — Chronic venous hypertension (idiopathic) (via I83.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Excludes2 notes: L98.4 — Non-pressure chronic ulcer of skin, not elsewhere classified (via I83.-), L98.A — Non-pressure chronic ulcer of upper limb, not elsewhere classified (via I83.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 299 (MDC 05), DRG 300 (MDC 05), DRG 301 (MDC 05).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR035 — Varicose veins of lower extremity (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Varicose veins of lower extremity).

I83.224 — Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation, I83.225 — Varicose veins of left lower extremity with both ulcer other part of foot and inflammation, I83.228 — Varicose veins of left lower extremity with both ulcer of other part of lower extremity and inflammation, I83.229 — Varicose veins of left lower extremity with both ulcer of unspecified site and inflammation, I83.811 — Varicose veins of right lower extremity with pain, I83.812 — Varicose veins of left lower extremity with pain, I83.813 — Varicose veins of bilateral lower extremities with pain, I83.819 — Varicose veins of unspecified lower extremity with pain, I83.891 — Varicose veins of right lower extremity with other complications, I83.892 — Varicose veins of left lower extremity with other complications, I83.899 — Varicose veins of unspecified lower extremity with other complications, I83.90 — Asymptomatic varicose veins of unspecified lower extremity, I83.91 — Asymptomatic varicose veins of right lower extremity, I83.92 — Asymptomatic varicose veins of left lower extremity, I83.93 — Asymptomatic varicose veins of bilateral lower extremities, O22.00 — Varicose veins of lower extremity in pregnancy, unspecified trimester, O22.01 — Varicose veins of lower extremity in pregnancy, first trimester, O22.02 — Varicose veins of lower extremity in pregnancy, second trimester, O22.03 — Varicose veins of lower extremity in pregnancy, third trimester, O87.4 — Varicose veins of lower extremity in the puerperium, +41 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Varix”; these codes share that main term but sit in a different category of the Tabular List.

H35.09 — Other intraretinal microvascular abnormalities (retina), I77.0 — Arteriovenous fistula, acquired (aneurysmal), I78.1 — Nevus, non-neoplastic (papillary), I85.00 — Esophageal varices without bleeding (esophagus), I85.01 — Esophageal varices with bleeding (esophagus, bleeding), I85.10 — Secondary esophageal varices without bleeding (esophagus, secondary), I85.11 — Secondary esophageal varices with bleeding (esophagus, secondary, bleeding), I86.0 — Sublingual varices (sublingual), I86.1 — Scrotal varices (scrotum), I86.2 — Pelvic varices (ovary), I86.3 — Vulval varices (vulva), I86.4 — Gastric varices (gastric), I86.8 — Varicose veins of other specified sites (orbit), O22.0 — Varicose veins of lower extremity in pregnancy (complicating, pregnancy), O22.1 — Genital varices in pregnancy (complicating, pregnancy, genital), O22.4 — Hemorrhoids in pregnancy (complicating, pregnancy, anus or rectum), O43.89 — Other placental disorders (placenta), O87.2 — Hemorrhoids in the puerperium (complicating, puerperium, anus or rectum), O87.4 — Varicose veins of lower extremity in the puerperium (complicating, childbirth), O87.8 — Other venous complications in the puerperium (complicating, puerperium, genital), +1 more

Contextual Map

Every relationship of I83.893 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run I83.893 with these 3 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 15,708 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Varix (lower limb), leg (asymptomatic), bilateral (asymptomatic), with, edema[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Varix (lower limb), leg (asymptomatic), bilateral (asymptomatic), with, specified complication NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Varix (lower limb), leg (asymptomatic), bilateral (asymptomatic), with, swelling[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "I83.893 — Varicose veins of bilateral lower extremities with other complications." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i83.893-varicose-veins-of-bilateral-lower-extremities-with-other-complications

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Varicose veins of bilateral lower extremities with other complications

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I83.893 in its code family, with their registry titles.

View all codes in the I83 family