2027 ICD-10-CM Diagnosis Code R60.1Generalized edema

ICD-10-CM Codes›R00–R99›R50-R69›R60

ICD-10-CM R60.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

R60.1 is a billable ICD-10-CM diagnosis code for generalized edema. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 947 through 948. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as anasarca. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other general signs and symptoms.

Code Identity

ICD-10-CM Code
R60.1
Billable Status
Yes — Valid for Submission
Code Describes
Generalized edema
Short Description
Generalized edema
Same as the full description in the CMS dataset.
Parent Code
R60
Edema, not elsewhere classified

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR50-R69General symptoms and signs
CategoryR60Edema, not elsewhere classified
This CodeR60.1Generalized edema

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Anasarca
  • Generalized edema
  • Menstrual edema
  • Mild generalized edema
  • Moderate generalized edema
  • Severe generalized edema
  • TAFRO syndrome

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to R60.1: its own notes plus those printed at R60 and 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.

From R60 Edema, not elsewhere classified applies to 3 codes

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.

On R60.1 itself
From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Notes

General instructions on how these codes are used.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • 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 R60.1, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming R60.1: they are not reported together with it, unless the two conditions are unrelated.

  • R22 Localized swelling, mass and lump of skin and subcutaneous tissue
    edema (R60.-) names R60.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR SYM016
Other general signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Generalized Edema, CTCAE

    a disorder characterized by fluid accumulation in the tissues of the body including the skin.

  • 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.

Convert R60.1 to ICD-9-CMHistory

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

ICD-9-CM
782.3 Edema
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About R60.1Overview

What is the ICD-10 code for generalized edema?

The ICD-10-CM code for generalized edema is R60.1 (sometimes written as R601). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is R60.1 (Edema, not elsewhere classified) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report generalized edema on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does R60.1 group to?

When generalized edema is the principal diagnosis on an inpatient stay, it groups to MS-DRG 948, 947, with relative weights from 0.7833 to 1.2608 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R60.1 be a principal diagnosis?

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

Can R60.1 be reported with T78.3?

Not as a rule. The Excludes1 note at R60, which applies to R60.1, 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).