2025 ICD-10-CM code I89.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified Diseases of the circulatory system (I00-I99) Feed
Lymphedema, not elsewhere classified.This code is used to bill for lymphedema, a condition where lymph fluid accumulates in tissues.
Modifiers may be applied to indicate the specific type of procedure or service provided for the lymphedema.
Medical necessity is established by the presence of lymphedema causing significant functional impairment, pain, risk of infection, or cosmetic concerns.The extent of the lymphedema and its impact on the patient's daily activities should be documented.
Diagnosis and management of lymphedema, including assessment of the severity, location, and potential underlying causes.Treatment may involve manual lymphatic drainage, compression therapy, exercise, and skin care.
- Diseases of the circulatory system (I00-I99)
- Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
In simple words: Lymphedema is swelling caused by a buildup of lymph fluid in your body. This fluid usually drains away properly, but problems like blocked lymph vessels can cause it to accumulate, leading to swelling in areas like your arms or legs.This code helps doctors bill for treating this condition.
I89.0, Lymphedema, not elsewhere classified, is an ICD-10-CM code representing the accumulation of lymph fluid in body tissues, causing swelling (edema).This can result from various factors, including lymphatic obstruction, congenital anomalies, infections, or trauma.The location of the lymphedema (e.g., arm, leg) should be documented.The code excludes postmastectomy lymphedema (I97.2),other specified lymphedema, and other specified conditions.
Example 1: A 60-year-old female presents with chronic swelling in her left leg following a mastectomy and axillary lymph node dissection.The swelling is consistent with lymphedema. I89.0 is used to code this diagnosis, with I97.2 excluded., A 30-year-old male presents with a history of filariasis and develops significant swelling in both lower extremities. After thorough examination and investigation, it's confirmed as lymphedema.I89.0 would be used, with B74.- (filarial chylocele) excluded., A 25-year-old female presents with congenital lymphedema in her right arm. The condition has been present since birth, and detailed documentation supports the congenital nature. I89.0 is used.
Detailed clinical history of the lymphedema, including onset, location, severity (staging), and any associated symptoms.Physical examination findings documenting the presence of edema.Imaging studies (e.g., lymphoscintigraphy) to assess lymphatic drainage.Documentation of any relevant comorbidities.
** The specificity of lymphedema (primary vs secondary, location, stage) should be documented in detail to ensure accurate coding.If possible, include documentation of causative factors of lymphedema.
- Payment Status: Active
- Modifier TC rule: Not applicable
- Specialties:Vascular Surgery, Oncology, Lymphedema Therapy
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Skilled Nursing Facility