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Home/Diagnosis/ICD-10 Coding for Bilateral Lower Extremity Edema

ICD-10 Coding for Bilateral Lower Extremity Edema

R60.0
I50.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral lower extremity edema includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
BLE Edema
Leg Swelling
Peripheral Edema
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Key Information: ICD-10 Coding for Bilateral Lower Extremity Edema

Essential facts and insights about ICD-10 Coding for Bilateral Lower Extremity Edema

Use ICD-10 code R60.0 for localized edema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Localized edema

Billable Code
R60.0
Billable

Diagnostic Criteria

clinical:
  • • Presence of pitting edema localized to lower extremities
coding:
  • • No systemic cause documented

Applicable To

  • • Pitting edema
  • • Localized swelling

Important Notes

  • • Ensure documentation specifies 'bilateral' and 'pitting' to support R60.0.

Heart failure, unspecified

Billable Code
I50.9
Billable

Diagnostic Criteria

clinical:
  • • BNP >500 pg/mL
  • • CXR showing pulmonary congestion

Applicable To

  • • Congestive heart failure

Important Notes

  • • Ensure heart failure is documented as the cause of edema.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.9

Heart failure, unspecified

Use when edema is due to heart failure.

Frequently Asked Questions

What is the ICD-10 code for bilateral lower extremity edema?

The ICD-10 code for bilateral lower extremity edema is R60.0, which is used for localized edema without a systemic cause.

How do you code edema due to heart failure?

For edema due to heart failure, use I50.9 as the primary code and R60.0 as the secondary code to indicate edema.

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