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R60.9

Billable

Edema, unspecified

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

What This Code Means

Swelling due to fluid accumulation when the extent (localized or generalized) is not specified.

Coding Tips

  • Use this code only when documentation does not clearly indicate whether edema is localized or generalized
  • Query the provider if possible to determine the distribution and location of edema for more specific coding

Code Hierarchy

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