MCMCB Pro
R69

R69Illness, unspecified

Billable / specific codeICD-10-CM

R69 is a billable, specific ICD-10-CM code for illness, unspecified. It is valid for submission on a claim.

Inclusion terms

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

  • Unknown and unspecified causes of morbidity

Risk adjustment

R69 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.

How R69 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 R69.

  • Diagnosis deferred
  • Illness
  • Morbidity not stated or unknown
  • Sick
  • Undiagnosed(disease)

Questions about R69

Is R69 a billable ICD-10-CM code?
Yes. R69 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R69 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.