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R18.8

R18.8: Other ascites

Billable / specific codeICD-10-CM

R18.8 is a billable, specific ICD-10-CM code for other ascites. It is valid for submission on a claim.

Check R18.8 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Ascites NOS
  • Peritoneal effusion (chronic)

Excludes1 inherited from the categories above R18.8

A category’s note binds every code beneath it.

Written on R18: Ascites

  • ascites in alcoholic cirrhosis (K70.31)
  • ascites in alcoholic hepatitis (K70.11)
  • ascites in toxic liver disease with chronic active hepatitis (K71.51)

Other codes that can never be billed with R18.8

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • R19.0Intra-abdominal and pelvic swelling, mass and lump
  • R60Edema, not elsewhere classified

Risk adjustment

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

Medicare coverage

R18.8 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56464Billing and Coding: Flow Cytometry
  • A56697Billing and Coding: Non-Invasive Vascular Studies
  • A56758Billing and Coding: Non-Invasive Vascular Studies

Alphabetic index entries that lead here

  • Ascites(abdominal)
  • Hydroperitoneum
  • Ascites›pseudochylous
  • Dropsy, dropsical›abdomen
  • Effusion›peritoneal(chronic)
  • Fluid›abdomen
  • Fluid›peritoneal cavity
  • Hydrops›abdominis

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R18

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.