I85.11 — Secondary esophageal varices with bleeding
Is I85.11 billable?
Yes — I85.11 is billable for FY2027. I85.11 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. I85.11 may be submitted for encounters from October 1, 2026 through September 30, 2027.
I85.11 at a glance
| Code | I85.11 |
|---|---|
| Description | Secondary esophageal varices with bleeding |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does I85.11 group to?
I85.11 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 368Major Esophageal Disorders with MCCmedical
- 369Major Esophageal Disorders with CCmedical
- 370Major Esophageal Disorders without CC/MCCmedical
As a secondary diagnosis, I85.11 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is I85.11 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to I85.11. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hemorrhage, hemorrhagic › esophagus › varix › secondary (concealed)
- Varix › esophagus › secondary › bleeding (lower limb)
- Varix › esophagus › in › alcoholic liver disease › bleeding (lower limb)
- Varix › esophagus › in › cirrhosis of liver › bleeding (lower limb)
- Varix › esophagus › in › portal hypertension › bleeding (lower limb)
- Varix › esophagus › in › schistosomiasis › bleeding (lower limb)
- Varix › esophagus › in › toxic liver disease › bleeding (lower limb)
Code first — inherited from I85.1
The underlying condition below must be sequenced before I85.11. I85.11 describes a manifestation and cannot be the principal or first-listed diagnosis.
- underlying disease
Use additional code — inherited from I85
Report an additional code alongside I85.11 to fully describe the condition. I85.11 is sequenced first.
- code to identify:
- alcohol abuse and dependence (F10.-)
Excludes2 — not included here — inherited from Chapter 9
The conditions below are not part of I85.11, but a patient may have both at the same time. When documentation supports it, I85.11 and the excluded code may both be reported.
- 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.-)
How long has I85.11 existed?
I85.11 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.