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

ICD-10 Coding for Lower Extremity Edema

R60.0
R60.1

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

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

Essential facts and insights about ICD-10 Coding for 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

  • • Edema confined to lower extremities with no systemic involvement.

Applicable To

  • • Edema confined to a specific area, such as the legs

Important Notes

  • • Ensure documentation specifies laterality and underlying cause.

Generalized edema

Billable Code
R60.1
Billable

Diagnostic Criteria

  • • Use when edema is part of a systemic condition affecting multiple areas.

Applicable To

  • • Edema involving multiple body areas

Important Notes

  • • Document systemic signs and symptoms.
Ancillary Codes

Additional codes that may be used with this diagnosis

I87.2

Chronic venous insufficiency

Use when venous insufficiency is confirmed as the cause of edema.

Frequently Asked Questions

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

The ICD-10 code for localized lower extremity edema is R60.0. It is used when the swelling is confined to specific areas like the legs.

When should R60.0 be used instead of R60.1?

Use R60.0 for edema localized to the lower extremities without systemic involvement, and R60.1 for generalized edema with systemic signs.

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