R68.11 — Excessive crying of infant (baby)
R68.11 is a billable, specific ICD-10-CM code for excessive crying of infant (baby). 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.
- excessive crying of child, adolescent, or adult (R45.83)
Other codes that can never be billed with R68.11
These codes carry an Excludes1 note pointing at R68.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R68.11 alone.
- R45.83Excessive crying of child, adolescent or adult
Risk adjustment
R68.11 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
R68.11 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
How R68.11 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 R68.11.
- Baby›crying constantly
- Crying›infant(baby) (newborn)
- Infant›excessive crying
- Excess, excessive, excessively›crying›in infant
Related codes at this level
Codes that share R68.1. If R68.11 is not quite right, the correct code is usually one of these.
Questions about R68.11
- Is R68.11 a billable ICD-10-CM code?
- Yes. R68.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R68.11 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 R68.11?
- R68.11 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.