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ICD-10-CM 2027 diagnosis code

R99Ill-defined and unknown cause of mortality

✓ Billable / specific

R99 is a valid, billable ICD-10-CM code for ill-defined and unknown cause of mortality. 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 R99

R99 is the ICD-10-CM diagnosis code for ill-defined and unknown cause of mortality. It belongs to block R99 (ill-defined and unknown cause of mortality) 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 798.0 (sudden infant death syndrome) and 799.9 (other unknown and unspecified cause of morbidity and mortality).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Death (unexplained) NOS
  • Unspecified cause of mortality

Notes that apply from higher levels

Instructions written at a parent level also apply to R99.

Alphabetic index entries

5 entries

Terms in the official ICD-10-CM index that lead to R99.

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 →
  • 798.0Sudden infant death syndromeapproximate
  • 799.9Other unknown and unspecified cause of morbidity and mortalityapproximate

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 R99

Is R99 billable?

Yes. R99 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R99 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R99 as a principal diagnosis.

Is R99 a CC or MCC?

No. R99 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does R99 group to?

R99 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.

What is the ICD-9 code for R99?

The CMS General Equivalence Mappings map R99 to ICD-9-CM 798.0 and 799.9.