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ICD-10-CM 2027

ICD-10 code for Bizarre appearance

R46.1

Bizarre personal appearance

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Appearance › bizarre”. Page updated September 29, 2026.

About coding Bizarre appearance

The ICD-10-CM code for Bizarre appearance is R46.1 (Bizarre personal appearance).

Within R46 (symptoms and signs involving appearance and behavior), R46.1 is specifically for Bizarre personal appearance. Related codes cover Very low level of personal hygiene (R46.0), Strange and inexplicable behavior (R46.2), overactivity (R46.3), Slowness and poor responsiveness (R46.4), Suspiciousness and marked evasiveness (R46.5), Undue concern and preoccupation with stressful events (R46.6), Verbosity and circumstantial detail obscuring reason for contact (R46.7) and other symptoms and signs involving appearance and behavior (R46.8).

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.

Common questions about Bizarre appearance ICD-10 codes

What is the ICD-10 code for Bizarre appearance?

R46.1 — Bizarre personal appearance.

Is R46.1 billable?

Yes. R46.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R46.1 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R46.1 as a principal diagnosis.

Is R46.1 a CC or MCC?

No. R46.1 is neither a CC nor an MCC under MS-DRG v44.0.