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ICD-10-CM 2027 diagnosis code

R60.1Generalized edema

✓ Billable / specific

R60.1 is a valid, billable ICD-10-CM code for generalized edema. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Anasarca.

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 R60.1

R60.1 is the ICD-10-CM diagnosis code for generalized edema. It belongs to category R60 (edema, not elsewhere classified), block R50-R69 (general symptoms and signs) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within R60 (edema, not elsewhere classified), R60.1 is specifically for generalized edema. Related codes cover localized edema (R60.0) and edema, unspecified (R60.9).

The conditions in its Excludes2 note aren't part of R60.1, but may be coded alongside it if the patient has both: nutritional edema (E40-E46).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 947 (Signs and Symptoms with MCC, relative weight 1.261) and DRG 948 (Signs and Symptoms without MCC, relative weight 0.7835), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

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

Before ICD-10, this condition was coded in ICD-9-CM as 782.3 (edema).

Coding notes

Excludes2Not included here — may be reported together if both conditions exist

Notes that apply from higher levels

Instructions written at a parent level also apply to R60.1.

› From R60 Edema, not elsewhere classified
Excludes1
  • angioneurotic edema (T78.3)
  • ascites (R18.-)
  • cerebral edema (G93.6)
  • cerebral edema due to birth injury (P11.0)
  • edema of larynx (J38.4)
  • edema of nasopharynx (J39.2)
  • edema of pharynx (J39.2)
  • gestational edema (O12.0-)
  • hereditary edema (Q82.0)
  • hydrops fetalis NOS (P83.2)
  • hydrothorax (J94.8)
  • newborn edema (P83.3)
  • pulmonary edema (J81.-)

Broader instructions also apply from Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to R60.1.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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 R60.1

Is R60.1 billable?

Yes. R60.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R60.1 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R60.1 as a principal diagnosis.

Is R60.1 a CC or MCC?

No. R60.1 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does R60.1 group to?

R60.1 is used in the MS-DRG v44.0 logic for MS-DRG 947 (Signs and Symptoms with MCC) and MS-DRG 948 (Signs and Symptoms without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for R60.1?

The CMS General Equivalence Mappings map R60.1 to ICD-9-CM 782.3.