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I97.2 ICD-10-CM Code: Postmastectomy lymphedema syndrome

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

Coding at a Glance

Tabular directives
2 inclusion terms · 1 Excludes2

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Excludes2Not included here; may be reported together
  • postprocedural shock (T81.1-)
IncludesWhat this code covers
  • Elephantiasis due to mastectomy
  • Obliteration of lymphatic vessels

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

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 600 — NON-MALIGNANT BREAST DISORDERS WITH CC/MCC (MDC 09)
  • MS-DRG 601 — NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC (MDC 09)

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 I97.2 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 I97.2 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Elephantiasis due to mastectomy
  • Obliteration of lymphatic vessels

Excludes2 — Not Included Here

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

Source: inherited from I97

Coder workflow for I97.2

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

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).

Official instructions as workflow

  • Excludes2 — not part of I97.2(1 note)

    Coding workflow: The conditions named in this note are not included in I97.2. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareT81.1

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

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 I97.2 with…

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

The codes most likely to be picked instead of I97.2 — 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.

  • T81.1— 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 postprocedural shock adds T81.1; it is not part of this code and both may be reported when both are documented.

    Full comparison: I97.2 vs T81.1 →

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.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Postmastectomy lymphedema syndrome is a billable ICD-10-CM diagnosis code (I97.2).

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

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-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name I97.2 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: I89.0 — Lymphedema, not elsewhere classified.

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

Referenced by 20 Excludes2 notes: T80 — Complications following infusion, transfusion and therapeutic injection (via I97.-), T80 — Complications following infusion, transfusion and therapeutic injection, T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via I97.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88), T81 — Complications of procedures, not elsewhere classified (via I97.-), T81 — Complications of procedures, not elsewhere classified, T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via I97.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts, T83 — Complications of genitourinary prosthetic devices, implants and grafts, T83 — Complications of genitourinary prosthetic devices, implants and grafts (via I97.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts, T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via I97.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via I97.-), T85 — Complications of other internal prosthetic devices, implants and grafts, T86 — Complications of transplanted organs and tissue, T86 — Complications of transplanted organs and tissue (via I97.-), T87 — Complications peculiar to reattachment and amputation, T87 — Complications peculiar to reattachment and amputation (via I97.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via I97.-), T88 — Other complications of surgical and medical care, not elsewhere classified.

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 2 MS-DRGs: DRG 600 (MDC 09), DRG 601 (MDC 09).

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

Clinical classification (AHRQ CCSR):CIR038 — Postprocedural or postoperative circulatory system complication (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 (Postprocedural or postoperative circulatory system complication).

I27.849 — Fontan related circulation, unspecified, I97.0 — Postcardiotomy syndrome, I97.110 — Postprocedural cardiac insufficiency following cardiac surgery, I97.111 — Postprocedural cardiac insufficiency following other surgery, I97.120 — Postprocedural cardiac arrest following cardiac surgery, I97.121 — Postprocedural cardiac arrest following other surgery, I97.130 — Postprocedural heart failure following cardiac surgery, I97.131 — Postprocedural heart failure following other surgery, I97.190 — Other postprocedural cardiac functional disturbances following cardiac surgery, I97.191 — Other postprocedural cardiac functional disturbances following other surgery, I97.3 — Postprocedural hypertension, I97.410 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization, I97.411 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass, I97.418 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure, I97.42 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure, I97.51 — Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure, I97.52 — Accidental puncture and laceration of a circulatory system organ or structure during other procedure, I97.610 — Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization, I97.611 — Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypass, I97.618 — Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedure, +25 more

Same Index main term, other category

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

H18.22 — Idiopathic corneal edema (cornea, idiopathic), H18.23 — Secondary corneal edema (cornea, secondary), H21.89 — Other specified disorders of iris and ciliary body (iris), H35.81 — Retinal edema (macula), I50.1 — Left ventricular failure, unspecified (lung, meaning failure, left ventricle), I73.9 — Peripheral vascular disease, unspecified (angiospastic), I77.1 — Stricture of artery (artery), I87.1 — Compression of vein (legs, due to venous obstruction), I87.8 — Other specified disorders of veins (vein), I89.0 — Lymphedema, not elsewhere classified, J38.4 — Edema of larynx (glottis, glottic, glottidis), J39.2 — Other diseases of pharynx (pharynx), J68.1 — Pulmonary edema due to chemicals, gases, fumes and vapors (lung, chemical), J70.0 — Acute pulmonary manifestations due to radiation (lung, due to, radiation), J70.1 — Chronic and other pulmonary manifestations due to radiation (lung, chronic, due to, radiation), J70.8 — Respiratory conditions due to other specified external agents (lung, due to, external agent, specified NEC), J70.9 — Respiratory conditions due to unspecified external agent (lung, due to, external agent), J81.0 — Acute pulmonary edema (lung, acute), J81.1 — Chronic pulmonary edema (lung), K08.89 — Other specified disorders of teeth and supporting structures (vestibule), +55 more

Contextual Map

Every relationship of I97.2 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 I97.2 with these 5 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes (20)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast[MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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. 7,378 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries (13)

  • Complication (s) (from) (of), circulatory system, postprocedural, lymphedema after mastectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Complication (s) (from) (of), surgical procedure (on), elephantiasis or lymphedema, postmastectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Complication (s) (from) (of), surgical procedure (on), lymphedema, postmastectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Complication (s) (from) (of), surgical procedure (on), postmastectomy lymphedema syndrome[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Edema, edematous (infectious) (pitting) (toxic), lymphatic, due to mastectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Elephantiasis (nonfilarial), due to, mastectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Elephantiasis (nonfilarial), lymphatic vessel, due to mastectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Elephantiasis (nonfilarial), surgical, postmastectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • and 5 more

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

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (13)

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.

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-derived 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 editorial 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.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

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. "I97.2 — Postmastectomy lymphedema syndrome." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i97.2-postmastectomy-lymphedema-syndrome

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Postmastectomy lymphedema syndrome

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 I97.2 in its code family, with their registry titles.

View all codes in the I97 family