Is R46 a billable ICD-10-CM code?

No. R46 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R46 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 cognition, perception, emotional state and behavior (R40-R46).

What cannot be coded together with R46?

R46 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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

R46 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.

Code to one of these instead R46

9 child codes. Green means billable.

Questions about R46

Is R46 a billable ICD-10-CM code?: No. R46 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R46 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 cognition, perception, emotional state and behavior (R40-R46).
What cannot be coded together with R46?: R46 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.