2027 ICD-10-CM Diagnosis Code I86.1Scrotal varices

ICD-10-CM Codes›I00–I99›I80-I89›I86

ICD-10-CM I86.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

I86.1 is a billable ICD-10-CM diagnosis code for scrotal varices. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 729 through 730. Coders also document this condition as male infertility due to varicocele. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified diseases of veins and lymphatics.

Code Identity

ICD-10-CM Code
I86.1
Billable Status
Yes — Valid for Submission
Code Describes
Scrotal varices
Short Description
Scrotal varices
Same as the full description in the CMS dataset.
Parent Code
I86
Varicose veins of other sites

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI80-I89Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
CategoryI86Varicose veins of other sites
This CodeI86.1Scrotal varices

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Male infertility due to varicocele
  • Varicocele
  • Varicocele palpable with Valsalva maneuver only
  • Varicocele palpable without Valsalva maneuver
  • Varicocele visible through skin

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to I86.1: its own notes plus those printed at I86 and Chapter 9. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Varicocele

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From I86 Varicose veins of other sites applies to 6 codes
  • varicose veins of unspecified site (I83.9-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From I86 Varicose veins of other sites applies to 6 codes
From Chapter 9 (I00-I99) Diseases of the circulatory system applies to 1,433 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR039
Other specified diseases of veins and lymphatics
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Varicocele

    a condition characterized by the dilated tortuous veins of the spermatic cord with a marked left-sided predominance. adverse effect on male fertility occurs when varicocele leads to an increased scrotal (and testicular) temperature and reduced testicular volume.

Patient EducationClinical

Testicular Disorders

Testicles, or testes, make male hormones and sperm. They are two egg-shaped organs inside the scrotum, the loose sac of skin behind the penis. It's easy to injure your testicles because they are not protected by bones or muscles. Men and boys should wear athletic supporters when they play sports.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert I86.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
456.4 Scrotal varices
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About I86.1Overview

What is the ICD-10 code for scrotal varices?

The ICD-10-CM code for scrotal varices is I86.1 (sometimes written as I861). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is I86.1 (Varicose veins of other sites) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report scrotal varices on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does I86.1 group to?

When scrotal varices is the principal diagnosis on an inpatient stay, it groups to MS-DRG 729, 730, with relative weights from 0.6595 to 1.0553 depending on complications. Higher weights mean higher Medicare reimbursement.

Can I86.1 be reported with a code from I83.9?

Not as a rule. The Excludes1 note at I86, which applies to I86.1, lists "varicose veins of unspecified site (I83.9-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of I86.1?

Under the General Equivalence Mappings, scrotal varices converts to ICD-9-CM 456.4 (scrotal varices). The mapping is a direct match.