ICD-10-CM Code R60.9

Edema, unspecified

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R60.9 is a billable code used to specify a medical diagnosis of edema, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R60.9 might also be used to specify conditions or terms like 1+ pitting edema, 2+ pitting edema, 3+ pitting edema, 4+ pitting edema, acute edema - cutaneous distension syndrome, acute edema blisters, 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.

ICD-10:R60.9
Short Description:Edema, unspecified
Long Description:Edema, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R60.9:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Fluid retention NOS

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 R60.9 are found in the index:

  • - Pitting - See Also: Edema; - R60.9

Synonyms

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

  • 1+ pitting edema
  • 2+ pitting edema
  • 3+ pitting edema
  • 4+ pitting edema
  • Acute edema - cutaneous distension syndrome
  • Acute edema blisters
  • Body fluid retention
  • Brawny edema
  • C/O: a swelling
  • Disorder characterized by edema
  • Edema
  • Edema due to fluid overload
  • Edema of soft tissue due to increased capillary pressure
  • Edematous skin
  • Exudative edema
  • Firm nonpitting edema
  • Firm pitting edema
  • Fluctuating edema level
  • Idiopathic edema
  • Idiopathic fluid retention
  • Lipedema
  • Localized edema
  • Localized edema due to fluid overload
  • Non-pitting edema
  • O/E - edema
  • O/E - soft tissue abnormality
  • O/E - soft tissue swelling
  • O/E - soft tissue swelling-gen
  • Periodic edema
  • Peripheral edema
  • Pitting edema
  • Pitting edema
  • Progressive encephalopathy with edema, hypsarrhythmia and optic atrophy syndrome
  • Reduction of peripheral edema
  • Remitting seronegative symmetrical synovitis with pitting edema
  • Second cranial nerve finding
  • Seronegative arthritis
  • Soft nonpitting edema
  • Soft pitting edema
  • Static edema level
  • Superficial swelling
  • Superficial traumatic edema
  • Swelling
  • Swelling - edema - symptom
  • Swelling / lump finding
  • Swelling at injection site
  • Swelling of skeletal muscle
  • Swelling or edema

Clinical Information

  • ANGIOEDEMA-. swelling involving the deep dermis subcutaneous or submucosal tissues representing localized edema. angioedema often occurs in the face lips tongue and larynx.
  • BRAIN EDEMA-. increased intracellular or extracellular fluid in brain tissue. cytotoxic brain edema swelling due to increased intracellular fluid is indicative of a disturbance in cell metabolism and is commonly associated with hypoxic or ischemic injuries see hypoxia brain. an increase in extracellular fluid may be caused by increased brain capillary permeability vasogenic edema an osmotic gradient local blockages in interstitial fluid pathways or by obstruction of csf flow e.g. obstructive hydrocephalus. from childs nerv syst 1992 sep; 86:301 6
  • EDEMA-. abnormal fluid accumulation in tissues or body cavities. most cases of edema are present under the skin in subcutaneous tissue.
  • EDEMA DISEASE OF SWINE-. an acute disease of young pigs that is usually associated with weaning. it is characterized clinically by paresis and subcutaneous edema.
  • EDEMA CARDIAC-. abnormal fluid retention by the body due to impaired cardiac function or heart failure. it is usually characterized by increase in venous and capillary pressure and swollen legs when standing. it is different from the generalized edema caused by renal dysfunction nephrotic syndrome.
  • LARYNGEAL EDEMA-. abnormal accumulation of fluid in tissues of any part of the larynx commonly associated with laryngeal injuries and allergic reactions.
  • MACULAR EDEMA-. fluid accumulation in the outer layer of the macula lutea that results from intraocular or systemic insults. it may develop in a diffuse pattern where the macula appears thickened or it may acquire the characteristic petaloid appearance referred to as cystoid macular edema. although macular edema may be associated with various underlying conditions it is most commonly seen following intraocular surgery venous occlusive disease diabetic retinopathy and posterior segment inflammatory disease. from survey of ophthalmology 2004; 495 470 90
  • PAPILLEDEMA-. swelling of the optic disk usually in association with increased intracranial pressure characterized by hyperemia blurring of the disk margins microhemorrhages blind spot enlargement and engorgement of retinal veins. chronic papilledema may cause optic atrophy and visual loss. miller et al. clinical neuro ophthalmology 4th ed p175
  • PRE ECLAMPSIA-. a complication of pregnancy characterized by a complex of symptoms including maternal hypertension and proteinuria with or without pathological edema. symptoms may range between mild and severe. pre eclampsia usually occurs after the 20th week of gestation but may develop before this time in the presence of trophoblastic disease.
  • PULMONARY EDEMA-. excessive accumulation of extravascular fluid in the lung an indication of a serious underlying disease or disorder. pulmonary edema prevents efficient pulmonary gas exchange in the pulmonary alveoli and can be life threatening.
  • HYDROPS FETALIS-. abnormal accumulation of serous fluid in two or more fetal compartments such as skin; pleura; pericardium; placenta; peritoneum; amniotic fluid. general fetal edema may be of non immunologic origin or of immunologic origin as in the case of erythroblastosis fetalis.
  • CORNEAL EDEMA-. an excessive amount of fluid in the cornea due to damage of the epithelium or endothelium causing decreased visual acuity.
  • GRAVES OPHTHALMOPATHY-. an autoimmune disorder of the eye occurring in patients with graves disease. subtypes include congestive inflammation of the orbital connective tissue myopathic swelling and dysfunction of the extraocular muscles and mixed congestive myopathic ophthalmopathy.
  • ANGIOEDEMAS HEREDITARY-. inherited disorders that are characterized by subcutaneous and submucosal edema in the upper respiratory tract and gastrointestinal tract.

Diagnostic Related Groups

The ICD-10 code R60.9 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 947 - SIGNS AND SYMPTOMS WITH MCC
  • 948 - SIGNS AND SYMPTOMS WITHOUT MCC

Convert R60.9 to ICD-9

  • 782.3 - Edema (Approximate Flag)

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • General symptoms and signs (R50-R69)
      • Edema, not elsewhere classified (R60)

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

Information for Patients


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.

Causes of edema include

  • Eating too much salt
  • Sunburn
  • Heart failure
  • Kidney disease
  • Liver problems from cirrhosis
  • Pregnancy
  • Problems with lymph nodes, especially after mastectomy
  • Some medicines
  • Standing or walking a lot when the weather is warm

To keep swelling down, your health care provider may recommend keeping your legs raised when sitting, wearing support stockings, limiting how much salt you eat, or taking a medicine called a diuretic - also called a water pill.


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