I97.2 — Postmastectomy lymphedema syndrome
Is I97.2 billable?
Yes — I97.2 is billable for FY2027. I97.2 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. I97.2 may be submitted for encounters from October 1, 2026 through September 30, 2027.
I97.2 at a glance
| Code | I97.2 |
|---|---|
| Description | Postmastectomy lymphedema syndrome |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does I97.2 group to?
I97.2 sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 600Non-Malignant Breast Disorders with CC/MCCmedical
- 601Non-Malignant Breast Disorders without CC/MCCmedical
How is I97.2 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to I97.2. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Postmastectomy lymphedema (syndrome)
- Lymphedema › postmastectomy (acquired)
- Syndrome › postmastectomy lymphedema
- Complication › surgical procedure › postmastectomy lymphedema syndrome (s) (from) (of)
- Edema, edematous › lymphatic › due to mastectomy (infectious) (pitting) (toxic)
- Elephantiasis › due to › mastectomy (nonfilarial)
- Elephantiasis › lymphatic vessel › due to mastectomy (nonfilarial)
- Elephantiasis › surgical › postmastectomy (nonfilarial)
- Lymphedema › surgical NEC › postmastectomy (acquired)
- Obliteration › lymphatic vessel › due to mastectomy
- Complication › circulatory system › postprocedural › lymphedema after mastectomy (s) (from) (of)
- Complication › surgical procedure › elephantiasis or lymphedema › postmastectomy (s) (from) (of)
Inclusion terms
Alternative wording in documentation that is classified to I97.2.
- Elephantiasis due to mastectomy
- Obliteration of lymphatic vessels
Excludes2 — not included here — inherited from Chapter 9
The conditions below are not part of I97.2, but a patient may have both at the same time. When documentation supports it, I97.2 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.-)
Excludes2 — not included here — inherited from I97
The conditions below are not part of I97.2, but a patient may have both at the same time. When documentation supports it, I97.2 and the excluded code may both be reported.
- postprocedural shock (T81.1-)
How long has I97.2 existed?
I97.2 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.
Which codes are confused with I97.2?
ICD-10-CM declares these codes mutually exclusive with I97.2 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to I97.2?
What other codes are in the I97 family? (8)
- I97.0Postcardiotomy syndrome
- I97.1Other postprocedural cardiac functional disturbancesnot billable
- I97.3Postprocedural hypertension
- I97.4Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedurenot billable
- I97.5Accidental puncture and laceration of a circulatory system organ or structure during a procedurenot billable
- I97.6Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedurenot billable
- I97.7Intraoperative cardiac functional disturbancesnot billable
- I97.8Other intraoperative and postprocedural complications and disorders of the circulatory system, not elsewhere classifiednot billable