ICD-10 I89.0
Billable / SpecificLymphedema, not elsewhere classified
About ICD-10-CM I89.0
ICD-10-CM code I89.0 represents Lymphedema, not elsewhere classified. This is a billable/specific code in the Circulatory System chapter (block I89). The 2026 edition of ICD-10-CM I89.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under I89.0. Per CMS ICD-10-CM Tabular 2026.
- Elephantiasis (nonfilarial) NOS
- Lymphangiectasis
- Obliteration, lymphatic vessel
- Praecox lymphedema
- Secondary lymphedema
Type 1 Excludes
Pure excludes, these codes can never be coded together with I89.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- postmastectomy lymphedema (I97.2)
Medicare LCD Coverage for I89.0
Local Coverage Determinations (LCDs) from CMS MACs that list I89.0 as a covered diagnosis.
Showing top 10 of 400 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I89.0.
2 Aetna
5 Medicare
CPT Codes Commonly Billed with I89.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 91299 CMS LCD: Billing and Coding: Endoscopy by Capsule CMS LCD
Convert I89.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| I89.0 | 4571 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To I89.0
Other codes in section I80-I89 (Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified).
ICD-10 I89.0, Billing FAQ
Is ICD-10 code I89.0 billable? +
Yes, I89.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to I89.0? +
ICD-10 I89.0 includes: Elephantiasis (nonfilarial) NOS; Lymphangiectasis; Obliteration, lymphatic vessel, and 2 more clinical synonyms.
What codes are Type 1 Excludes for I89.0? +
Type 1 Excludes (never code together with I89.0): postmastectomy lymphedema (I97.2)
What CPT codes are commonly billed with I89.0? +
Procedures frequently paired with I89.0 include: 91299.
What ICD-9 codes does I89.0 map to? +
Per CMS GEMs, I89.0 maps to ICD-9 codes: 4571. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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