R65.10: Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction
R65.10 is a billable, specific ICD-10-CM code for systemic inflammatory response syndrome (sirs) of non-infectious origin without acute organ dysfunction. It is valid for submission on a claim.
Check R65.10 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Systemic inflammatory response syndrome (SIRS) NOS
Risk adjustment
R65.10 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock0.500 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
R65.10 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57326Billing and Coding: Electrocardiograms
Alphabetic index entries that lead here
- Syndrome›systemic inflammatory response(SIRS), of non-infectious origin (without organ dysfunction)
- System, systemic›inflammatory response syndrome(SIRS) of non-infectious origin (without organ dysfunction)
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.