2027 ICD-10-CM Diagnosis Code R60Edema, not elsewhere classified
R60 is a non-billable ICD-10-CM category code for edema, not elsewhere classified, so it cannot be submitted on claims. Use a more specific code from this category instead, such as R60.0, R60.1, and R60.9. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established.
Code Identity
Code Classification
Specific Coding for Edema, not elsewhere classifiedOverview
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R60: its own notes plus those printed at Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- angioneurotic edema (T78.3)
- ascites (R18.-)
- cerebral edema (G93.6)
- cerebral edema due to birth injury (P11.0)
- edema of larynx (J38.4)
- edema of nasopharynx (J39.2)
- edema of pharynx (J39.2)
- gestational edema (O12.0-)
- hereditary edema (Q82.0)
- hydrops fetalis NOS (P83.2)
- hydrothorax (J94.8)
- newborn edema (P83.3)
- pulmonary edema (J81.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name R60, its category, or a range that includes it.
Clinical InformationClinical
Edema
abnormal fluid accumulation in tissues or body cavities. most cases of edema are present under the skin in subcutaneous tissue.
Patient EducationClinical
Edema
Edema means swelling caused by fluid in your body's tissues. It usually occurs in the feet, ankles and legs, but it can involve your entire body.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About R60Overview
What is the ICD-10 code for edema, not elsewhere classified?
R60 is the ICD-10-CM category for edema, not elsewhere classified, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is R60 (Edema, not elsewhere classified) a billable code?
No. This is a category header that groups the codes for edema, not elsewhere classified, and headers cannot be submitted on claims. Claims for edema, not elsewhere classified need a more specific code from this category, such as R60.0, R60.1, and R60.9.
Can R60 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the edema, not elsewhere classified is established, that condition takes the principal position instead.
Can R60 be reported with T78.3?
Not as a rule. The Excludes1 note on R60 lists "angioneurotic edema (T78.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).