R46.1

R46.1: Bizarre personal appearance

Billable / specific codeICD-10-CM

R46.1 is a billable, specific ICD-10-CM code for bizarre personal appearance. It is valid for submission on a claim.

Check R46.1 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R46.1

A category’s note binds every code beneath it.

Written on R46: Symptoms and signs involving appearance and behavior

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.

Medicare coverage

R46.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57130Billing and Coding: Psychiatric Codes

Alphabetic index entries that lead here

Appearance›bizarre

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R46

R46.0Very low level of personal hygiene
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