Non-billable / header codes

Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

• R00Abnormalities of heart beat
• R01Cardiac murmurs and other cardiac sounds
• R03Abnormal blood-pressure reading, without diagnosis
• R04Hemorrhage from respiratory passages
• R04.8Hemorrhage from other sites in respiratory passages
• R05Cough
• R06Abnormalities of breathing
• R06.0Dyspnea
• R06.8Other abnormalities of breathing
• R07Pain in throat and chest
• R07.8Other chest pain
• R09Other symptoms and signs involving the circulatory and respiratory system
• R09.0Asphyxia and hypoxemia
• R09.8Other specified symptoms and signs involving the circulatory and respiratory systems
• R09.AForeign body sensation of the circulatory and respiratory system
• R10Abdominal and pelvic pain
• R10.1Pain localized to upper abdomen
• R10.2Pelvic and perineal pain
• R10.3Pain localized to other parts of lower abdomen
• R10.8Other abdominal pain
• R10.81Abdominal tenderness
• R10.82Rebound abdominal tenderness
• R10.8AFlank tenderness
• R10.APain localized to flank
• R11Nausea and vomiting
• R11.1Vomiting
• R13Aphagia and dysphagia
• R13.1Dysphagia
• R14Flatulence and related conditions
• R15Fecal incontinence
• R16Hepatomegaly and splenomegaly, not elsewhere classified
• R18Ascites
• R19Other symptoms and signs involving the digestive system and abdomen
• R19.0Intra-abdominal and pelvic swelling, mass and lump
• R19.1Abnormal bowel sounds
• R19.3Abdominal rigidity
• R20Disturbances of skin sensation
• R22Localized swelling, mass and lump of skin and subcutaneous tissue
• R22.3Localized swelling, mass and lump, upper limb
• R22.4Localized swelling, mass and lump, lower limb
• R23Other skin changes
• R25Abnormal involuntary movements
• R26Abnormalities of gait and mobility
• R26.8Other abnormalities of gait and mobility
• R27Other lack of coordination
• R29Other symptoms and signs involving the nervous and musculoskeletal systems
• R29.7National Institutes of Health Stroke Scale (NIHSS) score
• R29.70NIHSS score 0-9
• R29.71NIHSS score 10-19
• R29.72NIHSS score 20-29
• R29.73NIHSS score 30-39
• R29.74NIHSS score 40-42
• R29.8Other symptoms and signs involving the nervous and musculoskeletal systems
• R29.81Other symptoms and signs involving the nervous system
• R29.89Other symptoms and signs involving the musculoskeletal system
• R29.9Unspecified symptoms and signs involving the nervous and musculoskeletal systems
• R30Pain associated with micturition
• R31Hematuria
• R31.2Other microscopic hematuria
• R33Retention of urine
• R35Polyuria
• R35.8Other polyuria
• R36Urethral discharge
• R39Other and unspecified symptoms and signs involving the genitourinary system
• R39.1Other difficulties with micturition
• R39.19Other difficulties with micturition
• R39.8Other symptoms and signs involving the genitourinary system
• R39.85Costovertebral (angle) tenderness
• R40Somnolence, stupor and coma
• R40.2Coma
• R40.21Coma scale, eyes open
• R40.211Coma scale, eyes open, never
• R40.212Coma scale, eyes open, to pain
• R40.213Coma scale, eyes open, to sound
• R40.214Coma scale, eyes open, spontaneous
• R40.22Coma scale, best verbal response
• R40.221Coma scale, best verbal response, none
• R40.222Coma scale, best verbal response, incomprehensible words
• R40.223Coma scale, best verbal response, inappropriate words
• R40.224Coma scale, best verbal response, confused conversation
• R40.225Coma scale, best verbal response, oriented
• R40.23Coma scale, best motor response
• R40.231Coma scale, best motor response, none
• R40.232Coma scale, best motor response, extension
• R40.233Coma scale, best motor response, abnormal flexion
• R40.234Coma scale, best motor response, flexion withdrawal
• R40.235Coma scale, best motor response, localizes pain
• R40.236Coma scale, best motor response, obeys commands
• R40.24Glasgow coma scale, total score
• R40.241Glasgow coma scale score 13-15
• R40.242Glasgow coma scale score 9-12
• R40.243Glasgow coma scale score 3-8
• R40.244Other coma, without documented Glasgow coma scale score, or with partial score reported
• R41Other symptoms and signs involving cognitive functions and awareness
• R41.8Other symptoms and signs involving cognitive functions and awareness
• R41.84Other specified cognitive deficit
• R43Disturbances of smell and taste
• R44Other symptoms and signs involving general sensations and perceptions
• R45Symptoms and signs involving emotional state
• R45.8Other symptoms and signs involving emotional state
• R45.85Homicidal and suicidal ideations
• R46Symptoms and signs involving appearance and behavior
• R46.8Other symptoms and signs involving appearance and behavior
• R47Speech disturbances, not elsewhere classified
• R47.0Dysphasia and aphasia
• R47.8Other speech disturbances
• R48Dyslexia and other symbolic dysfunctions, not elsewhere classified
• R49Voice and resonance disorders
• R49.2Hypernasality and hyponasality
• R50Fever of other and unknown origin
• R50.8Other specified fever
• R51Headache
• R53Malaise and fatigue
• R53.8Other malaise and fatigue
• R56Convulsions, not elsewhere classified
• R56.0Febrile convulsions
• R57Shock, not elsewhere classified
• R59Enlarged lymph nodes
• R60Edema, not elsewhere classified
• R62Lack of expected normal physiological development in childhood and adults
• R62.5Other and unspecified lack of expected normal physiological development in childhood
• R63Symptoms and signs concerning food and fluid intake
• R63.3Feeding difficulties
• R65Symptoms and signs specifically associated with systemic inflammation and infection
• R65.1Systemic inflammatory response syndrome (SIRS) of non-infectious origin
• R65.2Severe sepsis
• R68Other general symptoms and signs
• R68.1Nonspecific symptoms peculiar to infancy
• R68.8Other general symptoms and signs
• R70Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity
• R71Abnormality of red blood cells
• R73Elevated blood glucose level
• R73.0Abnormal glucose
• R74Abnormal serum enzyme levels
• R74.0Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
• R76Other abnormal immunological findings in serum
• R76.1Nonspecific reaction to test for tuberculosis
• R76.8Other specified abnormal immunological findings in serum
• R77Other abnormalities of plasma proteins
• R78Findings of drugs and other substances, not normally found in blood
• R78.7Finding of abnormal level of heavy metals in blood
• R78.8Finding of other specified substances, not normally found in blood
• R79Other abnormal findings of blood chemistry
• R79.8Other specified abnormal findings of blood chemistry
• R80Proteinuria
• R82Other and unspecified abnormal findings in urine
• R82.7Abnormal findings on microbiological examination of urine
• R82.8Abnormal findings on cytological and histological examination of urine
• R82.9Other and unspecified abnormal findings in urine
• R82.99Other abnormal findings in urine
• R83Abnormal findings in cerebrospinal fluid
• R84Abnormal findings in specimens from respiratory organs and thorax
• R85Abnormal findings in specimens from digestive organs and abdominal cavity
• R85.6Abnormal cytological findings in specimens from digestive organs and abdominal cavity
• R85.61Abnormal cytologic smear of anus
• R85.8Other abnormal findings in specimens from digestive organs and abdominal cavity
• R86Abnormal findings in specimens from male genital organs
• R87Abnormal findings in specimens from female genital organs
• R87.6Abnormal cytological findings in specimens from female genital organs
• R87.61Abnormal cytological findings in specimens from cervix uteri
• R87.62Abnormal cytological findings in specimens from vagina
• R87.8Other abnormal findings in specimens from female genital organs
• R87.81High risk human papillomavirus (HPV) DNA test positive from female genital organs
• R87.82Low risk human papillomavirus (HPV) DNA test positive from female genital organs
• R88Abnormal findings in other body fluids and substances
• R89Abnormal findings in specimens from other organs, systems and tissues
• R90Abnormal findings on diagnostic imaging of central nervous system
• R90.8Other abnormal findings on diagnostic imaging of central nervous system
• R91Abnormal findings on diagnostic imaging of lung
• R92Abnormal and inconclusive findings on diagnostic imaging of breast
• R92.3Mammographic density found on imaging of breast
• R92.31Mammographic fatty tissue density of breast
• R92.32Mammographic fibroglandular density of breast
• R92.33Mammographic heterogeneous density of breast
• R92.34Mammographic extreme density of breast
• R93Abnormal findings on diagnostic imaging of other body structures
• R93.4Abnormal findings on diagnostic imaging of urinary organs
• R93.42Abnormal radiologic findings on diagnostic imaging of kidney
• R93.8Abnormal findings on diagnostic imaging of other specified body structures
• R93.81Abnormal radiologic findings on diagnostic imaging of testis
• R94Abnormal results of function studies
• R94.0Abnormal results of function studies of central nervous system
• R94.1Abnormal results of function studies of peripheral nervous system and special senses
• R94.11Abnormal results of function studies of eye
• R94.12Abnormal results of function studies of ear and other special senses
• R94.13Abnormal results of function studies of peripheral nervous system
• R94.3Abnormal results of cardiovascular function studies
• R97Abnormal tumor markers
• R97.2Elevated prostate specific antigen [PSA]