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R60.0

Billable

Localized edema

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

What This Code Means

Swelling in a specific area of the body due to fluid accumulation in the tissues.

Coding Tips

  • •Document the specific anatomical location (e.g., lower extremity, face) to support medical necessity and treatment planning
  • •Distinguish between localized edema (R60.0) and generalized edema (R60.1) based on whether swelling is confined to one area or widespread

Code Hierarchy

└R60Edema, not elsewhere classified└R60.0Localized edema
└R60.0Localized edema

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