R06.3 — Periodic breathing
R06.3 is a billable, specific ICD-10-CM code for periodic breathing. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cheyne-Stokes breathing
Other codes that can never be billed with R06.3
These codes carry an Excludes1 note pointing at R06.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R06.3 alone.
- G47.3Sleep apnea
Risk adjustment
R06.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
R06.3 is named in 18 Medicare coverage policies — 18 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53026Billing and Coding: Bariatric Surgery Coverage
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56605Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
How R06.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R06.3.
- Cheyne-Stokes breathing(respiration)
- Breathing›periodic
- Respiration›Cheyne-Stokes
Related codes at this level
Codes that share R06. If R06.3 is not quite right, the correct code is usually one of these.
Questions about R06.3
- Is R06.3 a billable ICD-10-CM code?
- Yes. R06.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R06.3 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the circulatory and respiratory systems (R00-R09).