R64
R64: Cachexia
Billable / specific codeICD-10-CM
R64 is a billable, specific ICD-10-CM code for cachexia. It is valid for submission on a claim.
Check R64 with the rest of the claim: free scrubberOther codes that can never be billed with R64
Their own Excludes1 notes name this code, so the conflict is not listed above.
- E88.AWasting disease (syndrome) due to underlying condition
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R64 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56679Billing and Coding: Hospice The Adult Failure To Thrive Syndrome
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57189Billing and Coding: Serum Magnesium
Alphabetic index entries that lead here
- Cachexia
- Emaciation
- Inanition
- Cachexia›cancerous
- Cachexia›malignant
- Cachexia›pulmonary
Code history
Unchanged in every release from FY2024 to FY2027.