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R55

Billable

Syncope and collapse

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

What This Code Means

A sudden loss of consciousness and collapse, often accompanied by a brief loss of muscle tone. The person typically recovers quickly without lasting effects.

Coding Tips

  • Investigate and document the cause of syncope (heart rhythm problems, low blood pressure, neurological issues)
  • Code any identified underlying cause in addition to this symptom code

Excludes 1 — Do NOT code together

  • cardiogenic shock (R57.0)
  • carotid sinus syncope (G90.01)
  • heat syncope (T67.1)
  • neurocirculatory asthenia (F45.8)
  • neurogenic orthostatic hypotension (G90.3)
  • orthostatic hypotension (I95.1)
  • postprocedural shock (T81.1-)
  • psychogenic syncope (F48.8)
  • shock NOS (R57.9)
  • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • shock complicating or following labor and delivery (O75.1)
  • Stokes-Adams attack (I45.9)
  • unconsciousness NOS (R40.2-)

Code Hierarchy

R55Syncope and collapse
R55Syncope and collapse

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