R01.0

R01.0: Benign and innocent cardiac murmurs

Billable / specific codeICD-10-CM

R01.0 is a billable, specific ICD-10-CM code for benign and innocent cardiac murmurs. It is valid for submission on a claim.

Check R01.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Functional cardiac murmur

Excludes1 inherited from the categories above R01.0

A category’s note binds every code beneath it.

Written on R01: Cardiac murmurs and other cardiac sounds

cardiac murmurs and sounds originating in the perinatal period (P29.8)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R01.0 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56625Billing and Coding: Echocardiography
A56781Billing and Coding: Transthoracic Echocardiography (TTE)
A57306Billing and Coding: Transthoracic Echocardiography (TTE)
A57326Billing and Coding: Electrocardiograms

Alphabetic index entries that lead here

Murmur›benign
Murmur›functional
Murmur›innocent
Murmur›nonorganic

Code history

Unchanged in every release from FY2024 to FY2027.