2026 ICD-10-CM Diagnosis Code R00.2Palpitations

ICD-10-CM Codes›R00–R99›R00-R09›R00

ICD-10-CM R00.2
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R00.2 is a billable ICD-10-CM diagnosis code for palpitations. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 308 through 310. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Circulatory signs and symptoms.

This medical diagnosis code is frequently used in Cardiology medical specialties to designate conditions such abnormalities of heart rhythm.

Code Identity

ICD-10-CM Code
R00.2
Billable Status
Yes — Valid for Submission
Code Describes
Palpitations
Short Description
Palpitations
Same as the full description in the CMS dataset.
Parent Code
R00
Abnormalities of heart beat

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR00-R09Symptoms and signs involving the circulatory and respiratory systems
CategoryR00Abnormalities of heart beat
This CodeR00.2Palpitations

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Awareness of heart beat
  • Finding related to awareness of heart beat
  • Fluttering heart
  • Intermittent palpitations
  • Palpitations
  • Palpitations - rapid
  • Palpitations with regular rhythm
  • Pounding heart

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Awareness of heart beat

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Abnormal, abnormality, abnormalities
      • pulsations in neck
    • Awareness of heart beat
    • Heart beat
      • awareness
    • Palpitations(heart)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM012
Circulatory signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Arrhythmia

An arrhythmia is a problem with the rate or rhythm of your heartbeat. Your heart beats too quickly, too slowly, or with an irregular pattern. Changes in the electrical signals that control your heartbeat cause arrhythmias.

The full article covers:

  • What is an arrhythmia?
  • What causes an arrhythmia?
  • What are the symptoms of an arrhythmia?
  • How is an arrhythmia diagnosed?
  • What are the treatments for an arrhythmia?
  • Can arrhythmias be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R00.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
785.1 Palpitations
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R00.2Overview

Is R00.2 (Abnormalities of heart beat) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report palpitations on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R00.2 group to?

When palpitations is the principal diagnosis on an inpatient stay, it groups to MS-DRG 308, 309, 310, with relative weights from 0.5661 to 1.2040 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R00.2 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the palpitations is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R00.2?

Under the General Equivalence Mappings, palpitations converts to ICD-9-CM 785.1 (palpitations). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.