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ICD-10-CM 2027 diagnosis code

R18Ascites

Not billable — use a more specific code

R18 is a header code, so it can't be reported by itself. Choose one of the 2 more specific codes beneath it.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About R18

R18 is the ICD-10-CM diagnosis code for ascites. It belongs to block R10-R19 (symptoms and signs involving the digestive system and abdomen) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is a header code, so it can't be reported by itself; one of its 2 subcodes must be used instead.

To report this condition, pick the subcode that matches the documentation: R18.0 (ascites) and R18.8 (ascites).

Don't report R18 together with the conditions in its Excludes1 note: ascites in alcoholic cirrhosis (K70.31), ascites in alcoholic hepatitis (K70.11) and ascites in toxic liver disease with chronic active hepatitis (K71.51).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Specific codes under R18

Coding notes

IncludesFurther defines the content of the category
  • fluid in peritoneal cavity
Excludes1Not coded here — never report together with this code
  • ascites in alcoholic cirrhosis (K70.31)
  • ascites in alcoholic hepatitis (K70.11)
  • ascites in toxic liver disease with chronic active hepatitis (K71.51)

Notes that apply from higher levels

Instructions written at a parent level also apply to R18.

Codes whose notes reference R18

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about R18

Is R18 billable?

No. R18 is a header code. Report one of its more specific subcodes instead.