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Home/Diagnosis/ICD-10 Coding for Peripheral Edema

ICD-10 Coding for Peripheral Edema

R60.0
R60.1
I87.1

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

Also Known as:
Swelling
Fluid Retention
leg swelling
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Key Information: ICD-10 Coding for Peripheral Edema

Essential facts and insights about ICD-10 Coding for Peripheral 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 a specific area without systemic cause

Applicable To

  • • Swelling in specific areas without systemic cause

Important Notes

  • • Ensure documentation specifies the location and extent of edema.

Generalized edema

Billable Code
R60.1
Billable

Applicable To

  • • Anasarca

Important Notes

  • • Document the extent and systemic nature of edema.

Chronic venous hypertension (idiopathic) with inflammation

Billable Code
I87.1
Billable

Applicable To

  • • Venous stasis ulcers

Important Notes

  • • Ensure documentation includes venous insufficiency findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.9

Heart failure, unspecified

Use if edema is secondary to heart failure.

I82.41

Acute DVT

Use if DVT is present with venous insufficiency.

Frequently Asked Questions

What is the ICD-10 code for peripheral edema?

The ICD-10 code for localized peripheral edema is R60.0, while generalized edema is coded as R60.1.

How do you code edema due to heart failure?

Code the heart failure as the primary condition (e.g., I50.9) and use R60.0 or R60.1 for the edema, depending on its extent.

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