2026 ICD-10-CM Diagnosis Code I86.1Scrotal varices

ICD-10-CM CodesI00–I99I80-I89I86

ICD-10-CM I86.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

I86.1 is a billable ICD-10-CM diagnosis code for scrotal varices. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) 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
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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Varicocele

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • scrotum
        • varicose
    • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
      • varicose (lower limb, any part)
        • scrotum
    • Varicocele(scrotum) (thrombosed)
    • Varicocele(scrotum) (thrombosed)
      • spermatic cord (ulcerated)
    • Varicose
      • ulcer (lower limb, any part)
        • scrotum
    • Varix(lower limb)
      • scrotum (ulcerated)

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.
  • Spermatic Cord

    either of a pair of tubular structures formed by ductus deferens; arteries; veins; lymphatic vessels; and nerves. the spermatic cord extends from the deep inguinal ring through the inguinal canal to the testis in the scrotum.

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About I86.1Overview

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, 2025 through September 30, 2026.

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 0.6720 to 1.0587 depending on complications. Higher weights mean higher Medicare reimbursement.

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.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.