Excludes1 pair

I83- vs I87.2

I83 and I87.2 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on I87.2
stasis dermatitis with varicose veins of lower extremities (I83.1-, I83.2-)
I83

Varicose veins of lower extremities

Not billable
Chapter 9
Diseases of the circulatory system
Section
I80-I89
I87.2

Venous insufficiency (chronic) (peripheral)

Billable
Chapter 9
Diseases of the circulatory system
Section
I80-I89
Use when the record says
  • Stasis dermatitis
Indexed under
  • Dermatitis › stasis
  • Eczema › stasis
  • Insufficiency, insufficient › venous (chronic) (peripheral)
  • Stasis › dermatitis
  • Stasis › ulcer › without varicose veins

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027