R46

R46: Symptoms and signs involving appearance and behavior

Non-billable headerICD-10-CM

R46 is a non-billable header ICD-10-CM code for symptoms and signs involving appearance and behavior. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

appearance and behavior in schizophrenia, schizotypal and delusional disorders (F20-F29)
mental and behavioral disorders (F01-F99)

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead R46

9 child codes. Green means billable.

R46.0Very low level of personal hygiene
R46.1Bizarre personal appearance
R46.2Strange and inexplicable behavior
R46.3Overactivity
R46.4Slowness and poor responsiveness
R46.5Suspiciousness and marked evasiveness
R46.6Undue concern and preoccupation with stressful events
R46.7Verbosity and circumstantial detail obscuring reason for contact
R46.8Other symptoms and signs involving appearance and behavior