R60

R60: Edema, 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

Their own Excludes1 notes name this code, so the conflict is not listed above.

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

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 R60

3 child codes. Green means billable.