R06.01

R06.01: Orthopnea

Billable / specific codeICD-10-CM

R06.01 is a billable, specific ICD-10-CM code for orthopnea. It is valid for submission on a claim.

Check R06.01 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R06.01

A category’s note binds every code beneath it.

Written on R06.0: Dyspnea

tachypnea NOS (R06.82)
transient tachypnea of newborn (P22.1)

Written on R06: Abnormalities of breathing

acute respiratory distress syndrome (J80)
respiratory arrest (R09.2)
respiratory arrest of newborn (P28.81)
respiratory distress syndrome of newborn (P22.-)
respiratory failure (J96.-)
respiratory failure of newborn (P28.5)

Risk adjustment

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

Medicare coverage

R06.01 is named in 23 Medicare coverage policies: 23 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
A56425Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
A56476Billing and Coding: Cardiac Radionuclide Imaging
A56494Billing and Coding: Cardiovascular Nuclear Medicine

Alphabetic index entries that lead here

Orthopnea
Dyspnea›orthopnea
Distress›respiratory›orthopnea

Code history

Unchanged in every release from FY2024 to FY2027.