ICD-10-CM Code R46.0

Very low level of personal hygiene

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R46.0 is a billable code used to specify a medical diagnosis of very low level of personal hygiene. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R46.0 might also be used to specify conditions or terms like hands dirty, neglect of personal hygiene, o/e - state of care, o/e - unclean, personal appearance dirty, personal appearance dirty, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Short Description:Very low level of personal hygiene
Long Description:Very low level of personal hygiene

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R46.0 are found in the index:


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Hands dirty
  • Neglect of personal hygiene
  • O/E - state of care
  • O/E - unclean
  • Personal appearance dirty
  • Personal appearance dirty
  • Personal hygiene finding
  • Personal hygiene finding
  • Self-neglect
  • Very low level of personal hygiene

Convert R46.0 to ICD-9

  • 799.89 - Ill-define condition NEC (Approximate Flag)

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
      • Symptoms and signs involving appearance and behavior (R46)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020