2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R60.1 is a billable ICD-10-CM diagnosis code for generalized edema. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) 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. 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

Tabular List NotesGuidance

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

Type 2 Excludes

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.

    • Anasarca
    • Edema, edematous(infectious) (pitting) (toxic)
      • generalized

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

  • Anasarca

    a condition that is characterized by the presence of generalized edema. causes include congestive heart failure, liver failure, renal failure, and severe malnutrition.

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R60.1Overview

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, 2025 through September 30, 2026.

What MS-DRG does R60.1 group to?

When generalized edema is the principal diagnosis on an inpatient stay, it groups to MS-DRG 947, 948, with relative weights from 0.8005 to 1.2694 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.

What is the ICD-9 equivalent of R60.1?

Under the General Equivalence Mappings, generalized edema converts to ICD-9-CM 782.3 (edema). The mapping is approximate, so confirm the match fits the documentation.

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.