R06.5
R06.5: Mouth breathing
Billable / specific codeICD-10-CM
R06.5 is a billable, specific ICD-10-CM code for mouth breathing. It is valid for submission on a claim.
Check R06.5 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- dry mouth NOS (R68.2)
Excludes1 inherited from the categories above R06.5
A category’s note binds every code beneath it.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R06.5 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Alphabetic index entries that lead here
- Snuffles(non-syphilitic)
- Breathing›mouth
Code history
Unchanged in every release from FY2024 to FY2027.