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R06.01

Billable

Orthopnea

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Difficulty breathing that occurs when lying flat, requiring the patient to sit upright or use multiple pillows to breathe comfortably.

Coding Tips

  • •Document the positional nature of the symptom (occurs when lying down, relieved by sitting up)
  • •Orthopnea is often associated with heart failure or pulmonary edema; consider adding relevant condition codes

Code Hierarchy

└R06Abnormalities of breathing└R06.0Dyspnea└R06.01Orthopnea
└R06.01Orthopnea

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