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v1.0.0
ICD-10 Guide
ICD-10 CodesR50.8

R50.8

Other specified fever

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R50.8 is a billable code used to indicate a diagnosis of other specified fever.

Key Diagnostic Point:

R50.8 is used to classify fevers that do not fall under more specific categories of fever. This code encompasses a variety of fever presentations that may arise from numerous underlying conditions, including infections, inflammatory diseases, malignancies, and other systemic disorders. Symptoms associated with R50.8 may include elevated body temperature, chills, sweating, and malaise. The clinical context for this code is broad, as it can represent fevers of unknown origin or those that do not meet the criteria for more defined fever types, such as pyrexia of unknown origin (PUO) or fever due to a specific infectious agent. Laboratory findings may include elevated white blood cell counts, abnormal liver function tests, or other nonspecific inflammatory markers. Accurate diagnosis often requires a thorough clinical evaluation, including history-taking, physical examination, and targeted laboratory tests to identify the underlying cause of the fever.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for comprehensive clinical evaluation
  • Differentiation from other fever codes
  • Documentation of associated symptoms

Audit Risk Factors

  • Inadequate documentation of fever etiology
  • Failure to specify associated symptoms
  • Misuse of R50.8 when a more specific code is available
  • Lack of follow-up documentation for ongoing fever

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of fever duration, associated symptoms, and any previous treatments or investigations.

Common Clinical Scenarios

Patients presenting with unexplained fever, requiring extensive workup to rule out infections or malignancies.

Billing Considerations

Ensure all relevant lab results and imaging studies are documented to support the diagnosis.

Emergency Medicine

Documentation Requirements

Acute assessment of fever, including vital signs, initial lab results, and any immediate interventions.

Common Clinical Scenarios

Patients with acute febrile illness presenting to the emergency department, often requiring rapid diagnosis and treatment.

Billing Considerations

Document any immediate treatments provided and the rationale for further diagnostic testing.

Coding Guidelines

Inclusion Criteria

Use R50.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the fever does not fit into a more specific category
  • Document the clinical rationale for using R50

Exclusion Criteria

Do NOT use R50.8 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when evaluating a patient with fever in an outpatient setting.

Documentation Requirements

Document the history, examination, and medical decision-making related to the fever.

Specialty Considerations

Internal medicine providers should ensure comprehensive documentation to support the visit level.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fever-related conditions, but R50.8 remains a necessary code for cases where the fever does not fit into more defined categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fever-related conditions, but R50.8 remains a necessary code for cases where the fever does not fit into more defined categories.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fever-related conditions, but R50.8 remains a necessary code for cases where the fever does not fit into more defined categories.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use R50.8?

Use R50.8 when a patient presents with fever that does not have a more specific diagnosis or when the cause of the fever remains undetermined after initial evaluation.