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R60

R60Edema, not elsewhere classified

Non-billable headerICD-10-CM

R60 is a non-billable header ICD-10-CM code for edema, not elsewhere classified. 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.

  • angioneurotic edema (T78.3)
  • ascites (R18.-)
  • cerebral edema (G93.6)
  • cerebral edema due to birth injury (P11.0)
  • edema of larynx (J38.4)
  • edema of nasopharynx (J39.2)
  • edema of pharynx (J39.2)
  • gestational edema (O12.0-)
  • hereditary edema (Q82.0)
  • hydrops fetalis NOS (P83.2)
  • hydrothorax (J94.8)
  • newborn edema (P83.3)
  • pulmonary edema (J81.-)

Other codes that can never be billed with R60

These codes carry an Excludes1 note pointing at R60. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R60 alone.

  • R22Localized swelling, mass and lump of skin and subcutaneous tissue
  • E87.7Fluid overload

Risk adjustment

R60 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 R60

3 child codes. Green means billable.

Questions about R60

Is R60 a billable ICD-10-CM code?
No. R60 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R60 sit in the tabular list?
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block General symptoms and signs (R50-R69).
What cannot be coded together with R60?
R60 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 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.