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
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.
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.