R06.81
R06.81: Apnea, not elsewhere classified
Billable / specific codeICD-10-CM
R06.81 is a billable, specific ICD-10-CM code for apnea, not elsewhere classified. It is valid for submission on a claim.
Check R06.81 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Apnea NOS
Excludes1 inherited from the categories above R06.81
A category’s note binds every code beneath it.
Other codes that can never be billed with R06.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R06.81 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625Billing and Coding: Echocardiography
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A56771Billing and Coding: Special Electroencephalography
Alphabetic index entries that lead here
- Apnea, apneic(of) (spells)
- Breathlessness
- Smothering spells
- Paralysis, paralytic›respiratory(muscle) (system) (tract)
Code history
Unchanged in every release from FY2024 to FY2027.