2024 ICD-10-CM Diagnosis Code R60.9

Approximate 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
• Acute edema
• Acute edema - cutaneous distension syndrome
• Acute edema blisters
• Anasarca
• Body fluid retention
• Body fluid retention
• Brawny edema
• Disorder characterized by edema
• Edema
• Edema due to disturbed vasomotor control
• Edema due to fluid overload
• Edema due to hypoproteinemia
• Edema due to increased peripheral blood flow
• Edema due to obstructed venous return
• Edema of soft tissue due to increased capillary pressure
• Edematous skin
• Exudative edema
• Firm nonpitting edema
• Firm pitting edema
• Fluctuating edema level
• Generalized edema
• Generalized edema due to fluid overload
• Idiopathic edema
• Idiopathic fluid retention
• Infectious edema
• Infectious intermediate uveitis
• Intermediate uveitis
• Lipedema
• Localized edema
• Localized edema due to fluid overload
• Non-pitting edema
• Non-pitting edema
• Non-pitting edema
• 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
• Soft nonpitting edema
• Soft pitting edema
• Static edema level
• Superficial swelling
• Superficial traumatic edema
• Swelling
• Swelling at injection site
• Swelling of skeletal muscle
• Symmetrical arthritis

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.

• Angioedemas, Hereditary

  inherited disorders that are characterized by subcutaneous and submucosal edema in the upper respiratory tract and gastrointestinal tract.

• 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; 8(6):301-6)

• Corneal Edema

  an excessive amount of fluid in the cornea due to damage of the epithelium or endothelium causing decreased visual acuity.

• 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).

• 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.

• 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.

• 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; 49(5) 470-90)

• Pancreatitis

  inflammation of the pancreas. pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of chronic pancreatitis (international symposium on acute pancreatitis, atlanta, 1992). the two most common forms of acute pancreatitis are alcoholic pancreatitis and gallstone pancreatitis.

• 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.

• Lipedema

  disorder of adipose tissue characterized by symmetric and bilateral enlargement of the lower extremities due to abnormal deposition of subcutaneous fat often in obese women. it is associated with hematoma, pain and may progress to secondary lymphedema which is known as lipolymphedema.

• Nephrotic Syndrome

  a condition characterized by severe proteinuria, greater than 3.5 g/day in an average adult. the substantial loss of protein in the urine results in complications such as hypoproteinemia; generalized edema; hypertension; and hyperlipidemias. diseases associated with nephrotic syndrome generally cause chronic kidney dysfunction.

• Eye

  the organ of sight constituting a pair of globular organs made up of a three-layered roughly spherical structure specialized for receiving and responding to light.

• Larynx

  a tubular organ of voice production. it is located in the anterior neck, superior to the trachea and inferior to the tongue and hyoid bone.

• Pitting Edema

  swelling due to excessive accumulation of fluid under the skin defined by a persistent indentation when pressure is applied to the swollen area. causes include systemic conditions (e.g., heart failure, liver failure, or kidney failure) and local conditions affecting the extremities.

• Anasarca

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

• Astrocyte Swelling And Vacuolation|ASTROCYTE SWELLING/VACUOLATION

  a morphologic finding indicating the presence of astrocytes with intracytoplasmic swelling and vacuolation.

• Astrocyte Swelling|ASTROCYTE SWELLING

  a morphologic finding indicating the presence of astrocytes with intracytoplasmic swelling.

• Bothered by Amount of Swelling|I am bothered by the amount of swelling

  a question about whether an individual is or was bothered by the amount of swelling.

• Bothered by Arm Swelling|Arm swelling (lymphedema)

  a question about whether an individual is or was bothered by arm swelling.

• Bothered by Lumps or Swelling in Certain Parts of My Body|I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin)

  a question about whether an individual is or was bothered by lumps or swelling in certain parts of their body.

• Bothered by Swelling of Hands or Feet|Extent Bothered by Swelling of Hands or Feet|Swelling of hands or feet

  a question about the extent to which an individual is bothered by swelling of hands or feet.

• Breast Swelling

  enlargement of the breast due to increased fluid volume.

• Dactylitis|Painful swelling or discoloration of fingers/toes

  inflammation of the fingers or toes. this may be accompanied by pain and discoloration.

• Edema|EDEMA|Swelling/ Edema|edema

  accumulation of an excessive amount of fluid in cells or intercellular tissues.

• FACIT-Searchable Item Library Adult Version - Bothered by Lumps or Swelling|FSIL-Bothered by Lumps or Swelling|FSIL-Bothered by Lumps or Swelling|FSIL0445

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).

• FACIT-Searchable Item Library Adult Version - Bothered by Swelling Certain Areas|FSIL-Bothered by Swelling Certain Areas|FSIL-Bothered by Swelling Certain Areas|FSIL0002

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i am bothered by swelling in certain areas of my body.

• FACIT-Searchable Item Library Adult Version - Bothered by Swelling in My Breast|FSIL-Bothered by Swelling in My Breast|FSIL-Bothered by Swelling in My Breast|FSIL0553

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i am bothered by swelling in my breast.

• FACIT-Searchable Item Library Adult Version - Bothered by Swelling/Fluid in Legs|FSIL-Bothered by Swelling/Fluid in Legs|FSIL-Bothered by Swelling/Fluid in Legs|FSIL0666

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i am bothered by swelling/fluid in my legs.

• FACIT-Searchable Item Library Adult Version - Bothered by the Amount of Swelling|FSIL-Bothered by the Amount of Swelling|FSIL-Bothered by the Amount of Swelling|FSIL0459

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i am bothered by the amount of swelling.

• FACIT-Searchable Item Library Adult Version - Have Swelling in Parts of My Body|FSIL-Have Swelling in Parts of My Body|FSIL-Have Swelling in Parts of My Body|FSIL0533

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i have swelling in parts of my body.

• FACIT-Searchable Item Library Adult Version - I Have Swelling at My Melanoma Site|FSIL-I Have Swelling at My Melanoma Site|FSIL-I Have Swelling at My Melanoma Site|FSIL0457

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i have swelling at my melanoma site.

• FACIT-Searchable Item Library Adult Version - I Have Swelling in Stomach Area|FSIL-I Have Swelling in Stomach Area|FSIL-I Have Swelling in Stomach Area|FSIL0513

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i have swelling in my stomach area.

• FACIT-Searchable Item Library Adult Version - Swelling as a Result of Surgery|FSIL-Swelling as a Result of Surgery|FSIL-Swelling as a Result of Surgery|FSIL0458

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i have swelling as a result of surgery.

• FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Doing Things|FSIL-Swelling Keeps Me From Doing Things|FSIL-Swelling Keeps Me From Doing Things|FSIL0461

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) swelling keeps me from doing the things i want to do.

• FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Wearing|FSIL-Swelling Keeps Me From Wearing|FSIL-Swelling Keeps Me From Wearing|FSIL0462

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) swelling keeps me from wearing clothes or shoes i want to wear.

• FACIT-Searchable Item Library Adult Version - Swelling/Cramps in Stomach Area|FSIL-Swelling/Cramps in Stomach Area|FSIL-Swelling/Cramps in Stomach Area|FSIL0145

  functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i have swelling or cramps in my stomach area.

• FACT-C Version 4 - Swelling/Cramps in Stomach Area|FAC008-Swelling/Cramps in Stomach Area|FAC008-Swelling/Cramps in Stomach Area|FAC00828

  functional assessment of cancer therapy-colorectal version 4 (fact-c version 4) additional concerns: i have swelling or cramps in my stomach area.

• FACT-HEP Version 4 - Swelling or Cramps in Stomach Area|FAC015-Swelling/Cramps in Stomach Area|FAC015-Swelling/Cramps in Stomach Area|FAC01528

  functional assessment of cancer therapy-hepatobiliary version 4 (fact-hep version 4) additional concerns: i have swelling or cramps in my stomach area.

• FACT-LEU Version 4 - Bothered by Lumps or Swelling|FAC017-Bothered by Lumps or Swelling|FAC017-Bothered by Lumps or Swelling|FAC01732

  functional assessment of cancer therapy-leukemia version 4 (fact-leu version 4) additional concerns: i am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).

• FACT-LYM Version 4 - Bothered by Lumps or Swelling|FAC018-Bothered by Lumps or Swelling|FAC018-Bothered by Lumps or Swelling|FAC01829

  functional assessment of cancer therapy-lymphoma version 4 (fact-lym version 4) additional concerns: i am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).

• FOSI - I Have Swelling in Stomach Area|FAC049-I Have Swelling in Stomach Area|FAC049-I Have Swelling in Stomach Area|FAC04905

  functional assessment of cancer therapy-ovarian symptom index (fosi) i have swelling in my stomach area.

• Have Breast Swelling|Have you experienced breast swelling

  a question about whether an individual has or had breast swelling.

• Have Chest Wall Swelling|Have you experienced chest wall swelling

  a question about whether an individual has or had chest wall swelling.

• Have Swelling as Result of Surgery|I have swelling as a result of surgery

  a question about whether an individual has or had swelling as a result of surgery.

• Have Swelling at Melanoma Site|I have swelling at my melanoma site

  a question about whether an individual has or had swelling at their melanoma site.

• Have Swelling in Face Arms or Legs|I have had swelling in my face, arms or legs

  a question about whether an individual has or had swelling in their face, arms or legs.

• Have Swelling in Stomach Area|I have swelling in my stomach area

  a question about whether an individual has or had swelling in the area of the stomach.

• Have Swelling in Your Arm|Swelling in your arm

  a question about whether an individual experiences or experienced swelling in their arm.

• Have Swelling of Arms and/or Legs|Swelling of arms or legs

  a question about whether an individual has or had swelling of their arms or legs.

• Have Swelling or Cramps in Stomach|I have swelling or cramps in my stomach area

  a question about whether an individual has or had swelling or cramps in the area of the stomach.

• Have Swelling with Pitting|Have you experienced swelling with pitting

  a question about whether an individual has or had swelling or pitting; which occurs when you press firmly on your skin and the dent stays long enough to feel it when you slide the pad of your finger across it.

• Have Swelling|Have you experienced swelling

  a question about whether an individual has or had swelling.

• How Much Bothered by Swelling in Affected Breast or Chest Area|Swelling in the breast or chest area

  a question about how bothered an individual is by swelling in their breast or chest area.

• How Much Bothered by Swelling in Affected Underarm, Arm, or Hand|Swelling in the underarm, arm or hand

  a question about how bothered an individual is by swelling in their affected underarm, arm, or hand.

• How Much Distress Swelling of Arms or Legs|Swelling of arms or legs

  a question about an individual's distress from their swelling of arms or legs.

• How Often Experienced Swelling of Arm on Side You Had Breast Surgery|Swelling of the arm (lymphedema) on the side(s) that you had your breast surgery

  a question about how often an individual has experienced swelling of the arm on the side they had breast surgery.

• How Often Swelling of Arms or Legs|Frequency of Swelling of Arms or Legs|Swelling of Arms or Legs Frequency|Swelling of arms or legs

  a question about how often an individual has or had swelling of their arms or legs.

• Joint Swelling|Swelling of Joint

  the presence of swelling in a joint.

• NCCN-FACT FOSI-18 Version 2 - I Have Swelling in Stomach Area|FAC050-I Have Swelling in Stomach Area|FAC050-I Have Swelling in Stomach Area|FAC05007

  national comprehensive cancer network/functional assessment of cancer therapy-ovarian symptom index-18 version 2 (nccn-fact fosi-18 version 2) i have swelling in my stomach area.

• Nuclear Swelling Measurement|NUCSWELL|Nuclear Swelling|Nuclear Swelling

  the determination of the expansion of the nucleus of the cells in a sample.

• Pain and Disturbing Body Sensations|Pain and Disturbing Body Sensations (e.g. hot flashes, painful swelling of breasts, nausea)

  a question about an individual's level of pain and disturbing body sensations.

• Past Seven Days Any Pain, Swelling, or Redness at Site of Drug Injection or IV|In the past 7 days, did you have any pain, swelling, or redness at a site of drug injection or IV

  a question about whether an individual had any pain, swelling, or redness at the site of a drug injection or iv over the past seven days.

• Past Seven Days Arm or Leg Swelling Interfering with Usual or Daily Activities|Arm or Leg Swelling Interfering with Usual or Daily Activities Past Seven Days|How much did arm or leg swelling interfere with your usual or daily activities

  a question about how much an individual's arm or leg pain interfered with their usual or daily activities during the past seven days.

• Past Seven Days Frequency of Arm or Leg Swelling|Frequency of Arm or Leg Swelling Past Seven Days|How often did you have arm or leg swelling

  a question about the frequency of an individual's arm or leg swelling during the past seven days.

• PRO-CTCAE V1.0 - Breast Swelling&Tenderness Severity|PT01-Breast Swelling&Tenderness Severity|PT01-Breast Swelling&Tenderness Severity|PT01072A

  patient-reported outcomes version of the common terminology criteria for adverse events item library version 1.0 (pro-ctcae v1.0) in the last 7 days, what was the severity of your breast area enlargement or tenderness at its worst?

• PRO-CTCAE V1.0 - Pain&Swelling at Inj Site Presence|PT01-Pain&Swelling at Inj Site Presence|PT01-Pain&Swelling at Inj Site Presence|PT01079A

  patient-reported outcomes version of the common terminology criteria for adverse events item library version 1.0 (pro-ctcae v1.0) in the last 7 days, did you have any pain, swelling, or redness at a site of drug injection or iv?

• PRO-CTCAE V1.0 - Swelling Frequency|PT01-Swelling Frequency|PT01-Swelling Frequency|PT01022A

  patient-reported outcomes version of the common terminology criteria for adverse events item library version 1.0 (pro-ctcae v1.0) in the last 7 days, how often did you have arm or leg swelling?

• PRO-CTCAE V1.0 - Swelling Interference|PT01-Swelling Interference|PT01-Swelling Interference|PT01022C

  patient-reported outcomes version of the common terminology criteria for adverse events item library version 1.0 (pro-ctcae v1.0) in the last 7 days, how much did arm or leg swelling interfere with your usual or daily activities?

• PRO-CTCAE V1.0 - Swelling Severity|PT01-Swelling Severity|PT01-Swelling Severity|PT01022B

  patient-reported outcomes version of the common terminology criteria for adverse events item library version 1.0 (pro-ctcae v1.0) in the last 7 days, what was the severity of your arm or leg swelling at its worst?

• Swelling

  enlargement; expansion in size; sign of inflammation

• Swelling Keeps Me from Doing Things I Want to Do|Swelling keeps me from doing the things I want to do

  a question about whether an individual's swelling keeps or kept them from doing the things they want to do.

• Swelling Keeps Me From Wearing What I Want to Wear|Swelling keeps me from wearing clothes or shoes I want to wear

  a question about whether an individual's swelling keeps or kept them from wearing clothes or shoes they want or wanted to wear.

• Swelling Question

  a question about an individual's experience with swelling.

• Usual Severity Swelling of Arms or Legs|Swelling of arms or legs

  a question about the usual severity of an individual's swelling of arms or legs.

• Uterine Swelling

  with a high concentration of estrogen receptors, the uterus is one of the most sensitive tissues to the hormone and demonstrates two basic responses to estrogen: it swells by influx of water into the lumen of the uterus, and it increases in weight by the growth of the endometrial layer.

• Volume-Regulated Anion Channel Subunit LRRC8A|LRRC8A|Leucine-Rich Repeat-Containing Protein 8A|Swelling Protein 1

  volume-regulated anion channel subunit lrrc8a (810 aa, ~94 kda) is encoded by the human lrrc8a gene. this protein is involved in the maintenance of cell volume.

• Worst Severity Past Seven Days Arm or Leg Swelling|What was the severity of your arm or leg swelling at its worst|Worst Severity of Arm or Leg Swelling Past Seven Days

  a question about the worst severity of an individual's arm or leg pain during the past seven days.

R60.9 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert R60.9 to ICD-9-CM

• ICD-9-CM Code: 782.3 - Edema
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

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.

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.