2027 ICD-10-CM Diagnosis Code R61Generalized hyperhidrosis
ICD-10-CM Codes›R00–R99›R50-R69›R61
- Billable — Valid for Submission
- Not Chronic
R61 is a billable ICD-10-CM diagnosis code for generalized hyperhidrosis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 606 through 607. 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
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abnormal flushing and sweating
- Asymmetric sweating
- Asymmetrical hyperhidrosis
- Clammy sweat
- Cold sweat
- Compensatory hyperhidrosis
- Congenital hypoplasia of nail unit
- Congenital insensitivity to pain, hyperhidrosis, absence of cutaneous sensory innervation
- Disorder of skin co-occurrent with human immunodeficiency virus infection
- Drug-induced hyperhidrosis
- Ectodermal dysplasia, hyperhidrosis, cutaneous syndactyly syndrome
- Excessive sweating
- Generalized hyperhidrosis
- Generalized hyperhidrosis due to neurological disorder
- Gustatory hyperhidrosis
- Hot sweats
- Hyperhidrosis
- Hyperhidrosis due to autonomic dysregulation
- Hyperhidrosis due to causalgia
- Hyperhidrosis with AIDS
- Idiopathic diffuse hyperhidrosis
- Menopausal hyperhidrosis
- Myokymia, hyperhidrosis, impaired muscle relaxation syndrome
- Night sweats
- Skin disorder with AIDS
- Sweating
- Sweating attack
- Sweating fever
- Sweating on left side of body
- Sweating on right side of body
- Sweating problem
- Sweating symptom
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R61: its own notes plus those printed at Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Excessive sweating
- Night sweats
- Secondary hyperhidrosis
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
Code First
The underlying condition named in the note is sequenced before this code.
- if applicable, menopausal and female climacteric states (N95.1)
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 R61, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Hyperhidrosis, hyperidrosis R61
generalized R61
secondary R61
night R61
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Hyperhidrosis
excessive sweating. in the localized type, the most frequent sites are the palms, soles, axillae, inguinal folds, and the perineal area. its chief cause is thought to be emotional. generalized hyperhidrosis may be induced by a hot, humid environment, by fever, or by vigorous exercise.
Patient EducationClinical
Sweat
Sweat is a clear, salty liquid produced by glands in your skin. Sweating is how your body cools itself. You sweat mainly under your arms and on your feet and palms. When sweat mixes with bacteria on your skin, it can cause a smell. Bathing regularly and using antiperspirants or deodorants can help control the odor.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R61 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R61Overview
What is the ICD-10 code for generalized hyperhidrosis?
The ICD-10-CM code for generalized hyperhidrosis is R61. It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is R61 (Generalized hyperhidrosis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report generalized hyperhidrosis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does R61 group to?
When generalized hyperhidrosis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 607, 606, with relative weights from 0.8772 to 1.5721 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R61 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the generalized hyperhidrosis is established, that condition takes the principal position instead.
Can R61 be reported with a code from L74.5?
Not as a rule. The Excludes1 note on R61 lists "focal (primary) (secondary) hyperhidrosis (L74.5-)". 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).
