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R05.4

R05.4: Cough syncope

Billable / specific codeICD-10-CM

R05.4 is a billable, specific ICD-10-CM code for cough syncope. It is valid for submission on a claim.

Check R05.4 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

  • syncope and collapse (R55)

Excludes1 inherited from the categories above R05.4

A category’s note binds every code beneath it.

Written on R05: Cough

  • paroxysmal cough due to Bordetella pertussis (A37.0-)
  • smoker's cough (J41.0)

Excludes2 inherited from the categories above R05.4

Not part of this code, but both may be coded when both are present.

Written on R05: Cough

  • cough with hemorrhage (R04.2)

Risk adjustment

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

Medicare coverage

R05.4 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56621Billing and Coding: Swallowing Studies for Dysphagia
  • A57224Billing and Coding: Respiratory Care
  • A57636Billing and Coding: Duplex Scanning

Alphabetic index entries that lead here

  • Cough›syncope
  • Syncope›laryngeal
  • Vertigo›laryngeal

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R05

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.