Is R61 a billable ICD-10-CM code?

Yes. R61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R61 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 R61?

R61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R61

R61 — Generalized hyperhidrosis

Billable / specific codeICD-10-CM

R61 is a billable, specific ICD-10-CM code for generalized hyperhidrosis. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

focal (primary) (secondary) hyperhidrosis (L74.5-)
Frey's syndrome (L74.52)
localized (primary) (secondary) hyperhidrosis (L74.5-)

Code first

The underlying condition must be sequenced before this code.

, if applicable, menopausal and female climacteric states (N95.1)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Excessive sweating
Night sweats
Secondary hyperhidrosis

Risk adjustment

R61 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.

Medicare coverage

R61 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A54954Billing and Coding: Autonomic Function Tests
A57024Billing and Coding: Autonomic Function Testing
A57326Billing and Coding: Electrocardiograms
A57551Billing and Coding: Autonomic Function Testing

How R61 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R61.

Diaphoresis(excessive)
Hyperhidrosis, hyperidrosis
Sweating, excessive
Excess, excessive, excessively›sweating
Hyperhidrosis, hyperidrosis›generalized
Hyperhidrosis, hyperidrosis›secondary
Night›sweats
Sweat, sweats›night
Excess, excessive, excessively›secretion›sweat

Questions about R61

Is R61 a billable ICD-10-CM code?: Yes. R61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R61 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 R61?: R61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.