Is R46.8 a billable ICD-10-CM code?

No. R46.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R46.8 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 R46.8?

R46.8 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R46.8 (R46) and apply to it just the same.

R46.8

R46.8 — Other symptoms and signs involving appearance and behavior

Non-billable headerICD-10-CM

R46.8 is a non-billable header ICD-10-CM code for other symptoms and signs involving appearance and behavior. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above R46.8

These are not written on R46.8, but they bind it: a note on a category applies to every code beneath it. Billing R46.8 with anything listed here is a denial.

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

R46.8 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 history

R46.8 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead R46.8

2 child codes. Green means billable.

Related codes at this level

Codes that share R46. If R46.8 is not quite right, the correct code is usually one of these.

Questions about R46.8

Is R46.8 a billable ICD-10-CM code?: No. R46.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R46.8 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 R46.8?: R46.8 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R46.8 (R46) and apply to it just the same.