R10-R79
Medium Complexity

General symptoms and signs

Primary Specialty: General Medicine
Last Updated: 2025-09-10

ICD-10 Codes (200)

197 billable
0 category headers
R11
Billable
Nausea and vomiting
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R11.0
Billable
Nausea
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R11.1
Billable
Vomiting
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R11.10
Billable
Vomiting, unspecified
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R11.11
Billable
Vomiting without nausea
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R11.12
Billable
Projectile vomiting
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R11.13
Billable
Vomiting of fecal matter
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R11.14
Billable
Bilious vomiting
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R11.15
Billable
Cyclical vomiting syndrome unrelated to migraine
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R11.2
Billable
Nausea with vomiting, unspecified
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R12
Billable
Heartburn
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R13
Aphagia and dysphagia
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R13.0
Billable
Aphagia
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R13.1
Billable
Dysphagia
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R13.10
Billable
Dysphagia, unspecified
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R13.11
Billable
Dysphagia, oral phase
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R13.12
Billable
Dysphagia, oropharyngeal phase
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R13.13
Billable
Dysphagia, pharyngeal phase
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R13.14
Billable
Dysphagia, pharyngoesophageal phase
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R13.19
Billable
Other dysphagia
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R14
Billable
Flatulence and related conditions
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R14.0
Billable
Abdominal distension (gaseous)
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R14.1
Billable
Gas pain
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R14.2
Billable
Eructation
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R14.3
Billable
Flatulence
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R15
Billable
Fecal incontinence
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R15.0
Billable
Incomplete defecation
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R15.1
Billable
Fecal smearing
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R15.2
Billable
Fecal urgency
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R15.9
Billable
Full incontinence of feces
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R16
Billable
Hepatomegaly and splenomegaly, not elsewhere classified
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R16.0
Billable
Hepatomegaly, not elsewhere classified
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R16.1
Billable
Splenomegaly, not elsewhere classified
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R16.2
Billable
Hepatomegaly with splenomegaly, not elsewhere classified
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R17
Billable
Unspecified jaundice
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R18
Billable
Ascites
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R18.0
Billable
Malignant ascites
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R18.8
Billable
Other ascites
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R19
Billable
Other symptoms and signs involving the digestive system and abdomen
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R19.0
Billable
Intra-abdominal and pelvic swelling, mass and lump
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R19.00
Billable
Intra-abdominal and pelvic swelling, mass and lump, unspecified site
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R19.01
Billable
Right upper quadrant abdominal swelling, mass and lump
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R19.02
Billable
Left upper quadrant abdominal swelling, mass and lump
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R19.03
Billable
Right lower quadrant abdominal swelling, mass and lump
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R19.04
Billable
Left lower quadrant abdominal swelling, mass and lump
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R19.05
Billable
Periumbilic swelling, mass or lump
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R19.06
Billable
Epigastric swelling, mass or lump
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R19.07
Billable
Generalized intra-abdominal and pelvic swelling, mass and lump
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R19.09
Billable
Other intra-abdominal and pelvic swelling, mass and lump
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R19.1
Billable
Abnormal bowel sounds
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R19.11
Billable
Absent bowel sounds
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R19.12
Billable
Hyperactive bowel sounds
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R19.15
Billable
Other abnormal bowel sounds
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R19.2
Billable
Visible peristalsis
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R19.3
Billable
Abdominal rigidity
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R19.30
Billable
Abdominal rigidity, unspecified site
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R19.31
Billable
Right upper quadrant abdominal rigidity
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R19.32
Billable
Left upper quadrant abdominal rigidity
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R19.33
Billable
Right lower quadrant abdominal rigidity
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R19.34
Billable
Left lower quadrant abdominal rigidity
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R19.35
Billable
Periumbilic abdominal rigidity
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R19.36
Billable
Epigastric abdominal rigidity
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R19.37
Billable
Generalized abdominal rigidity
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R19.4
Billable
Change in bowel habit
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R19.5
Billable
Other fecal abnormalities
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R19.6
Billable
Halitosis
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R19.7
Billable
Diarrhea, unspecified
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R19.8
Billable
Other specified symptoms and signs involving the digestive system and abdomen
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R20
Billable
Disturbances of skin sensation
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R20.0
Billable
Anesthesia of skin
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R20.1
Billable
Hypoesthesia of skin
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R20.2
Billable
Paresthesia of skin
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R20.3
Billable
Hyperesthesia
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R20.8
Billable
Other disturbances of skin sensation
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R20.9
Billable
Unspecified disturbances of skin sensation
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R21
Billable
Rash and other nonspecific skin eruption
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R22
Billable
Localized swelling, mass and lump of skin and subcutaneous tissue
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R22.0
Billable
Localized swelling, mass and lump, head
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R22.1
Billable
Localized swelling, mass and lump, neck
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R22.2
Billable
Localized swelling, mass and lump, trunk
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R22.3
Billable
Localized swelling, mass and lump, upper limb
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R22.30
Billable
Localized swelling, mass and lump, unspecified upper limb
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R22.31
Billable
Localized swelling, mass and lump, right upper limb
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R22.32
Billable
Localized swelling, mass and lump, left upper limb
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R22.33
Billable
Localized swelling, mass and lump, upper limb, bilateral
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R22.4
Billable
Localized swelling, mass and lump, lower limb
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R22.40
Billable
Localized swelling, mass and lump, unspecified lower limb
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R22.41
Billable
Localized swelling, mass and lump, right lower limb
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R22.42
Billable
Localized swelling, mass and lump, left lower limb
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R22.43
Billable
Localized swelling, mass and lump, lower limb, bilateral
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R22.9
Billable
Localized swelling, mass and lump, unspecified
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R23
Billable
Other skin changes
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R23.0
Billable
Cyanosis
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R23.1
Billable
Pallor
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R23.2
Billable
Flushing
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R23.3
Billable
Spontaneous ecchymoses
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R23.4
Billable
Changes in skin texture
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R23.8
Billable
Other skin changes
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R23.9
Billable
Unspecified skin changes
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R25
Billable
Abnormal involuntary movements
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R25.0
Billable
Abnormal head movements
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R25.1
Billable
Tremor, unspecified
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R25.2
Billable
Cramp and spasm
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R25.3
Billable
Fasciculation
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R25.8
Billable
Other abnormal involuntary movements
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R25.9
Billable
Unspecified abnormal involuntary movements
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R26
Abnormalities of gait and mobility
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R26.0
Billable
Ataxic gait
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R26.1
Billable
Paralytic gait
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R26.2
Billable
Difficulty in walking, not elsewhere classified
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R26.8
Billable
Other abnormalities of gait and mobility
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R26.81
Billable
Unsteadiness on feet
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R26.89
Billable
Other abnormalities of gait and mobility
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R26.9
Billable
Unspecified abnormalities of gait and mobility
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R27
Other lack of coordination
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R27.0
Billable
Ataxia, unspecified
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R27.8
Billable
Other lack of coordination
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R27.9
Billable
Unspecified lack of coordination
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R29
Billable
Other symptoms and signs involving the nervous and musculoskeletal systems
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R29.0
Billable
Tetany
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R29.1
Billable
Meningismus
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R29.2
Billable
Abnormal reflex
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R29.3
Billable
Abnormal posture
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R29.4
Billable
Clicking hip
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R29.5
Billable
Transient paralysis
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R29.6
Billable
Repeated falls
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R29.7
Billable
National Institutes of Health Stroke Scale (NIHSS) score
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R29.70
Billable
NIHSS score 0-9
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R29.700
Billable
NIHSS score 0
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R29.701
Billable
NIHSS score 1
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R29.702
Billable
NIHSS score 2
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R29.703
Billable
NIHSS score 3
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R29.704
Billable
NIHSS score 4
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R29.705
Billable
NIHSS score 5
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R29.706
Billable
NIHSS score 6
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R29.707
Billable
NIHSS score 7
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R29.708
Billable
NIHSS score 8
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R29.709
Billable
NIHSS score 9
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R29.71
Billable
NIHSS score 10-19
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R29.710
Billable
NIHSS score 10
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R29.711
Billable
NIHSS score 11
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R29.712
Billable
NIHSS score 12
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R29.713
Billable
NIHSS score 13
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R29.714
Billable
NIHSS score 14
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R29.715
Billable
NIHSS score 15
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R29.716
Billable
NIHSS score 16
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R29.717
Billable
NIHSS score 17
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R29.718
Billable
NIHSS score 18
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R29.719
Billable
NIHSS score 19
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R29.72
Billable
NIHSS score 20-29
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R29.720
Billable
NIHSS score 20
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R29.721
Billable
NIHSS score 21
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R29.722
Billable
NIHSS score 22
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R29.723
Billable
NIHSS score 23
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R29.724
Billable
NIHSS score 24
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R29.725
Billable
NIHSS score 25
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R29.726
Billable
NIHSS score 26
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R29.727
Billable
NIHSS score 27
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R29.728
Billable
NIHSS score 28
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R29.729
Billable
NIHSS score 29
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R29.73
Billable
NIHSS score 30-39
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R29.730
Billable
NIHSS score 30
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R29.731
Billable
NIHSS score 31
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R29.732
Billable
NIHSS score 32
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R29.733
Billable
NIHSS score 33
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R29.734
Billable
NIHSS score 34
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R29.735
Billable
NIHSS score 35
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R29.736
Billable
NIHSS score 36
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R29.737
Billable
NIHSS score 37
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R29.738
Billable
NIHSS score 38
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R29.739
Billable
NIHSS score 39
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R29.74
Billable
NIHSS score 40-42
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R29.740
Billable
NIHSS score 40
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R29.741
Billable
NIHSS score 41
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R29.742
Billable
NIHSS score 42
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R29.8
Billable
Other symptoms and signs involving the nervous and musculoskeletal systems
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R29.81
Billable
Other symptoms and signs involving the nervous system
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R29.810
Billable
Facial weakness
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R29.818
Billable
Other symptoms and signs involving the nervous system
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R29.89
Billable
Other symptoms and signs involving the musculoskeletal system
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R29.890
Billable
Loss of height
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R29.891
Billable
Ocular torticollis
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R29.898
Billable
Other symptoms and signs involving the musculoskeletal system
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R29.9
Billable
Unspecified symptoms and signs involving the nervous and musculoskeletal systems
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R29.90
Billable
Unspecified symptoms and signs involving the nervous system
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R29.91
Billable
Unspecified symptoms and signs involving the musculoskeletal system
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R30
Billable
Pain associated with micturition
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R30.0
Billable
Dysuria
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R30.1
Billable
Vesical tenesmus
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R30.9
Billable
Painful micturition, unspecified
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R31
Billable
Hematuria
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R31.0
Billable
Gross hematuria
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R31.1
Billable
Benign essential microscopic hematuria
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R31.2
Billable
Other microscopic hematuria
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R31.21
Billable
Asymptomatic microscopic hematuria
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R31.29
Billable
Other microscopic hematuria
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R31.9
Billable
Hematuria, unspecified
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R32
Billable
Unspecified urinary incontinence
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R33
Billable
Retention of urine
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R33.0
Billable
Drug induced retention of urine
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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 R10-R79 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 R10-R79 encompasses general symptoms and signs. These codes are used to document symptoms and clinical signs that are not associated with a definitive diagnosis. They cover a wide range of conditions, including abdominal and pelvic pain, fever, malaise and fatigue, and abnormal findings in blood chemistry, among others. These codes are crucial for capturing patient symptoms that may lead to further diagnostic procedures.

Key Usage Points:

  • •R10-R79 codes are used when a definitive diagnosis is not yet established.
  • •These codes cover a wide range of general symptoms and signs.
  • •R10-R79 can be used in any medical specialty, depending on the patient's symptoms.
  • •These codes are often used in initial patient encounters.
  • •R10-R79 codes can be used in conjunction with other codes to provide a complete picture of the patient's health.

Coding Guidelines

When to Use:

  • ✓When a patient presents with symptoms such as pain, fever, or fatigue, but no definitive diagnosis has been made.
  • ✓When a patient's blood chemistry shows abnormal findings.
  • ✓When a patient's symptoms are not specific to a particular disease or condition.
  • ✓When a patient's symptoms are the primary reason for the visit.

When NOT to Use:

  • ✗When a definitive diagnosis has been made.
  • ✗When the symptoms are typical or expected for a diagnosed condition.
  • ✗When the symptoms are self-limiting and not the primary reason for the visit.
  • ✗When the symptoms are better represented by a more specific code.

Code Exclusions

Always verify exclusions in the ICD-10 manual to ensure accurate coding.

Documentation Requirements

Documentation for R10-R79 codes should be detailed and describe the patient's symptoms or signs accurately. It should include the location, duration, severity, and any factors that exacerbate or relieve the symptoms.

Clinical Information:

  • •Detailed description of the symptoms or signs
  • •Location of the symptoms
  • •Duration and frequency of the symptoms
  • •Severity of the symptoms
  • •Factors that exacerbate or relieve the symptoms

Supporting Evidence:

  • •Patient's medical history
  • •Physical examination findings
  • •Results of any diagnostic tests
Good Documentation Example:

Patient presents with severe, sharp abdominal pain in the lower right quadrant, lasting for 12 hours. Pain increases with movement.

Poor Documentation Example:

Patient has stomach pain.

Common Documentation Errors:

  • âš Not documenting the location of the symptoms
  • âš Not specifying the severity of the symptoms
  • âš Not including the duration and frequency of the symptoms
  • âš Not describing factors that exacerbate or relieve the symptoms

Range Statistics

18
Total Codes
197
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:18

Coding Complexity

Medium
Complexity Rating

The coding complexity for the R10-R79 range is medium. While the codes themselves are straightforward, the challenge lies in accurately capturing the patient's symptoms and knowing when to use these codes versus more specific codes. Staying current with changes and updates to this range is also crucial.

Key Factors:
  • â–¸Determining the most accurate code within the R10-R79 range
  • â–¸Understanding the nuances of the patient's symptoms
  • â–¸Knowing when to use these codes versus more specific codes
  • â–¸Keeping up-to-date with changes and updates to the R10-R79 range

Specialty Focus

R10-R79 codes are widely used across all medical specialties. They are particularly prevalent in primary care, emergency medicine, and internal medicine, where patients often present with undiagnosed symptoms.

Primary Specialties:
Primary Care
30%
Emergency Medicine
25%
Internal Medicine
20%
Clinical Scenarios:
  • • A patient presents to the ER with severe abdominal pain and fever.
  • • A patient visits their primary care physician with fatigue and unexplained weight loss.
  • • A patient in the hospital has abnormal blood chemistry findings during routine testing.

Resources & References

Numerous resources are available for coding in the R10-R79 range, including the official ICD-10 manual, clinical reference guides, and educational materials.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • American Health Information Management Association (AHIMA) guidelines
  • Centers for Disease Control and Prevention (CDC) guidelines

Clinical References:

  • American Medical Association (AMA) guides
  • Medical coding textbooks and handbooks

Educational Materials:

  • Online coding courses
  • Webinars and workshops on ICD-10 coding

Frequently Asked Questions

Can R10-R79 codes be used as primary codes?

Yes, R10-R79 codes can be used as primary codes when the patient's symptoms are the primary reason for the visit and a definitive diagnosis has not been made.