ICD-10-CM 2027 diagnosis code
R69Illness, unspecified
R69 is a valid, billable ICD-10-CM code for illness, unspecified. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS, effective October 1, 2026. Updated September 29, 2026. About our data
About R69
R69 is the ICD-10-CM diagnosis code for illness, unspecified. It belongs to 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.
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 951 (Other Factors Influencing Health Status, relative weight 0.5577), 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 799.89 (other ill-defined conditions), 799.9 (other unknown and unspecified cause of morbidity and mortality) and V41.9 (unspecified problem with special functions).
Coding notes
- Unknown and unspecified causes of morbidity
Notes that apply from higher levels
Instructions written at a parent level also apply to R69.
Broader instructions also apply from Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.
Alphabetic index entries
5 entriesTerms in the official ICD-10-CM index that lead to R69.
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 →- 799.89Other ill-defined conditionsapproximate
- 799.9Other unknown and unspecified cause of morbidity and mortalityapproximate
- V41.9Unspecified problem with special functionsapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about R69
Is R69 billable?
- Yes. R69 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can R69 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict R69 as a principal diagnosis.
Is R69 a CC or MCC?
- No. R69 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does R69 group to?
- R69 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.