R00-R69
Medium Complexity
General symptoms and signs
Primary Specialty: General Practice
Last Updated: 2025-09-10
ICD-10 Codes (200)
195 billable0 category headers
R01Billable
R01.0Billable
R01.1Billable
R01.2Billable
R03Billable
R03.0Billable
R03.1Billable
R04R04.0Billable
R04.1Billable
R04.2Billable
R04.8Billable
R04.81Billable
R04.89Billable
R04.9Billable
R05Billable
R05.1Billable
R05.2Billable
R05.3Billable
R05.4Billable
R05.8Billable
R05.9Billable
R06R06.0Billable
R06.00Billable
R06.01Billable
R06.02Billable
R06.03Billable
R06.09Billable
R06.1Billable
R06.2Billable
R06.3Billable
R06.4Billable
R06.5Billable
R06.6Billable
R06.7Billable
R06.8Billable
R06.81Billable
R06.82Billable
R06.83Billable
R06.89Billable
R06.9Billable
R07Billable
R07.0Billable
R07.1Billable
R07.2Billable
R07.8Billable
R07.81Billable
R07.82Billable
R07.89Billable
R07.9Billable
R09R09.0Billable
R09.01Billable
R09.02Billable
R09.1Billable
R09.2Billable
R09.3Billable
R09.8Billable
R09.81Billable
R09.82Billable
R09.89Billable
R10R10.0Billable
R10.1Billable
R10.10Billable
R10.11Billable
R10.12Billable
R10.13Billable
R10.2Billable
R10.3Billable
R10.30Billable
R10.31Billable
R10.32Billable
R10.33Billable
R10.8Billable
R10.81Billable
R10.811Billable
R10.812Billable
R10.813Billable
R10.814Billable
R10.815Billable
R10.816Billable
R10.817Billable
R10.819Billable
R10.82Billable
R10.821Billable
R10.822Billable
R10.823Billable
R10.824Billable
R10.825Billable
R10.826Billable
R10.827Billable
R10.829Billable
R10.83Billable
R10.84Billable
R10.9Billable
R11Billable
R11.0Billable
R11.1Billable
R11.10Billable
R11.11Billable
R11.12Billable
R11.13Billable
R11.14Billable
R11.15Billable
R11.2Billable
R12Billable
R13R13.0Billable
R13.1Billable
R13.10Billable
R13.11Billable
R13.12Billable
R13.13Billable
R13.14Billable
R13.19Billable
R14Billable
R14.0Billable
R14.1Billable
R14.2Billable
R14.3Billable
R15Billable
R15.0Billable
R15.1Billable
R15.2Billable
R15.9Billable
R16Billable
R16.0Billable
R16.1Billable
R16.2Billable
R17Billable
R18Billable
R18.0Billable
R18.8Billable
R19Billable
R19.0Billable
R19.00Billable
R19.01Billable
R19.02Billable
R19.03Billable
R19.04Billable
R19.05Billable
R19.06Billable
R19.07Billable
R19.09Billable
R19.1Billable
R19.11Billable
R19.12Billable
R19.15Billable
R19.2Billable
R19.3Billable
R19.30Billable
R19.31Billable
R19.32Billable
R19.33Billable
R19.34Billable
R19.35Billable
R19.36Billable
R19.37Billable
R19.4Billable
R19.5Billable
R19.6Billable
R19.7Billable
R19.8Billable
R20Billable
R20.0Billable
R20.1Billable
R20.2Billable
R20.3Billable
R20.8Billable
R20.9Billable
R21Billable
R22Billable
R22.0Billable
R22.1Billable
R22.2Billable
R22.3Billable
R22.30Billable
R22.31Billable
R22.32Billable
R22.33Billable
R22.4Billable
R22.40Billable
R22.41Billable
R22.42Billable
R22.43Billable
R22.9Billable
R23Billable
R23.0Billable
R23.1Billable
R23.2Billable
R23.3Billable
R23.4Billable
R23.8Billable
R23.9Billable
R25Billable
R25.0Billable
R25.1Billable
R25.2Billable
Updates & Changes
FY 2026 Updates
Current Year
Deleted Codes
No codes deleted in this range for FY 2026
No significant changes for FY 2026
This range maintains stability with current coding practices
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for R00-R69 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
high priority
The ICD-10 code range R00-R69, titled 'General symptoms and signs', is a broad category encompassing a variety of nonspecific symptoms and clinical signs that are not categorized elsewhere. These codes are used when a definitive diagnosis has not been established by the provider. This range includes codes for symptoms concerning nutrition, metabolism, and development, general symptoms, and abnormal clinical findings.
Key Usage Points:
- •These codes are used when a definitive diagnosis has not been established.
- •The category includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions.
- •Codes in this range can be used in any healthcare setting.
- •These codes should not be used if a more specific code is available.
- •Documentation should be as specific as possible to ensure accurate coding.
Coding Guidelines
When to Use:
- ✓When a patient presents with symptoms but no definitive diagnosis has been made.
- ✓When a patient has abnormal clinical findings but the cause is unknown.
- ✓When a patient has an ill-defined condition that doesn't fit into other categories.
- ✓When a patient presents with general symptoms like fatigue, fever, or pain.
When NOT to Use:
- ✗When a more specific code is available.
- ✗When the cause of the symptoms or signs is known.
- ✗When the symptoms or signs are part of a known disease process.
- ✗When the symptoms or signs are normal findings.
Code Exclusions
Always verify exclusions with the latest version of the ICD-10-CM.
Documentation Requirements
Documentation for codes in the R00-R69 range should be as specific as possible. It should include the nature, severity, and location of symptoms, if applicable. Any relevant clinical findings or test results should also be documented.
Clinical Information:
- •Nature of the symptoms or signs
- •Severity of the symptoms or signs
- •Location of the symptoms or signs
- •Duration and frequency of the symptoms or signs
- •Any relevant clinical findings or test results
Supporting Evidence:
- •Physician's notes
- •Lab results
- •Imaging results
- •Consultation reports
Good Documentation Example:
Patient presents with severe, persistent abdominal pain in the lower right quadrant. No known cause.
Poor Documentation Example:
Patient has stomach pain.
Common Documentation Errors:
- âš Not documenting the severity of symptoms
- âš Not specifying the location of symptoms
- âš Using these codes when a more specific code is available
- âš Not including relevant clinical findings or test results
Range Statistics
18
Total Codes
195
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:18
Coding Complexity
Medium
Complexity Rating
Coding in this range can be complex due to the broad nature of the symptoms and signs included. It requires a good understanding of the ICD-10 guidelines and the ability to interpret clinical documentation accurately. Additionally, these codes are often updated, requiring coders to stay current with changes.
Key Factors:
- â–¸Determining when to use these codes versus more specific codes
- â–¸Understanding the variety of symptoms and signs included in this range
- â–¸Keeping up with changes and updates to this range
- â–¸Ensuring documentation is specific and complete
Specialty Focus
While these codes can be used in any healthcare setting, they are particularly common in primary care, emergency medicine, and urgent care. They are often used when a patient first presents with symptoms before a definitive diagnosis is made.
Primary Specialties:
Primary Care
40%
Emergency Medicine
35%
Urgent Care
25%
Clinical Scenarios:
- • A patient presents to the ER with severe chest pain of unknown cause.
- • A patient visits their primary care physician with persistent fatigue and weight loss.
- • A patient goes to an urgent care clinic with sudden, severe abdominal pain.
- • A patient presents with a high fever of unknown origin.
- • A patient has abnormal lab results with no known cause.
Resources & References
There are several resources available for coding in the R00-R69 range. These include the official ICD-10-CM guidelines, clinical reference books, and educational materials from coding organizations.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- World Health Organization's ICD-10 guidelines
- National Center for Health Statistics ICD-10 resources
Clinical References:
- Merck Manual
- Harrison's Principles of Internal Medicine
Educational Materials:
- American Health Information Management Association (AHIMA) resources
- American Academy of Professional Coders (AAPC) resources
Frequently Asked Questions
Can I use a code from the R00-R69 range if a more specific code is available?
No, if a more specific code is available, it should be used instead of a code from this range.
What information should be documented for these codes?
The nature, severity, and location of symptoms, if applicable, should be documented. Any relevant clinical findings or test results should also be included.