Is ICD-10-CM code R60 billable?

No, R60 (Edema, not elsewhere classified) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code R60 belong to?

R60 belongs to Chapter 18 of the ICD-10-CM tabular list: R00–R99 (Symptoms, Signs and Abnormal Clinical and Laboratory Findings).

R60Not billable, use a more specific code below

Edema, not elsewhere classified

In General symptoms and signs (R50-R69), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

3 billable codes under R60: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

angioneurotic edema (T78.3)
ascites (R18.-)
cerebral edema (G93.6)
cerebral edema due to birth injury (P11.0)
edema of larynx (J38.4)
edema of nasopharynx (J39.2)
edema of pharynx (J39.2)
gestational edema (O12.0-)
hereditary edema (Q82.0)
hydrops fetalis NOS (P83.2)
hydrothorax (J94.8)
newborn edema (P83.3)
pulmonary edema (J81.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

Use of symptom codes (page 75)
Use of a symptom code with a definitive diagnosis code (page 75)
Combination codes that include symptoms (page 75)
Repeated falls (page 76)
Coma (page 76)
Functional quadriplegia (page 76)
SIRS due to Non-Infectious Process (page 77)
Death NOS (page 77)

Read Section I.C.18 (page 75), 1 more topics

All codes under R60

R60 can't be used on a claim. Pick a billable code below; grey headings group them.

R60 MS-DRGs

As the principal diagnosis, all 3 billable codes under R60 group to MS-DRG 947 or 948 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to R60

Notes on these codes point to R60.

R22 Excludes1: edema (R60.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Edema

Edema means swelling caused by fluid in your body's tissues. It usually occurs in the feet, ankles and legs, but it can involve your entire body. Causes of edema include:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.