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FY2027 ICD-10-CM reference

I85.10: Secondary esophageal varices without bleeding

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Secondary esophageal varices without bleeding. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

  • HCC 63: Chronic Liver Failure/End-Stage Liver Disorders · RAF 0.962, Community Non-Dual Aged (CNA)

Payment year 2027, 2026 dates of service. HCC from the CMS 2027 Initial ICD-10-CM Mappings; RAF from the CMS-HCC V28 relative factors. For 2027 dates of service, CMS has not yet published the payment year 2028 mappings.

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

Source verification pending

PACE

Source verification pending

RxHCC

Source verification pending

HHS-HCC

Source verification pending

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Excludes2

certain conditions originating in the perinatal period (P04-P96)

Source: I00-I99 (chapter, inherited).

Excludes2

certain infectious and parasitic diseases (A00-B99)

Source: I00-I99 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: I00-I99 (chapter, inherited).

Excludes2

congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)

Source: I00-I99 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: I00-I99 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: I00-I99 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: I00-I99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: I00-I99 (chapter, inherited).

Excludes2

systemic connective tissue disorders (M30-M36)

Source: I00-I99 (chapter, inherited).

Excludes2

transient cerebral ischemic attacks and related syndromes (G45.-)

Source: I00-I99 (chapter, inherited).

Instructional note

code to identify:

Source: I85 (category, inherited).

Instructional note

alcohol abuse and dependence (F10.-)

Source: I85 (category, inherited).

Instructional note

Esophageal varices secondary to alcoholic liver disease

Source: I85.1 (self, inherited).

Instructional note

Esophageal varices secondary to cirrhosis of liver

Source: I85.1 (self, inherited).

Instructional note

Esophageal varices secondary to schistosomiasis

Source: I85.1 (self, inherited).

Instructional note

Esophageal varices secondary to toxic liver disease

Source: I85.1 (self, inherited).

Code first

underlying disease

Source: I85.1 (self, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does I85.10 mean in FY2027?

The official ICD-10-CM descriptor is Secondary esophageal varices without bleeding. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is I85.10 billable in FY2027?

The FY2027 order file marks I85.10 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does I85.10 map to an HCC?

In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), I85.10 maps to CMS-HCC V28 HCC 63 (Chronic Liver Failure/End-Stage Liver Disorders). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. ESRD, RxHCC, PACE and HHS-HCC mappings are still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition