ICD-10 R01
Non-Billable HeaderCardiac murmurs and other cardiac sounds
About ICD-10-CM R01
ICD-10-CM code R01 represents Cardiac murmurs and other cardiac sounds. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R01). The 2026 edition of ICD-10-CM R01 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R01. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- cardiac murmurs and sounds originating in the perinatal period (P29.8)
Medicare LCD Coverage for R01
Local Coverage Determinations (LCDs) from CMS MACs that list R01 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R01.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R01 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R01
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Codes Adjacent To R01
Other codes in section R00-R09 (Symptoms and signs involving the circulatory and respiratory systems).
ICD-10 R01, Billing FAQ
Is ICD-10 code R01 billable? +
No, R01 is a non-billable header code. Use a more specific child code from block R01 when submitting claims.
What codes are Type 1 Excludes for R01? +
Type 1 Excludes (never code together with R01): cardiac murmurs and sounds originating in the perinatal period (P29.8)
What CPT codes are commonly billed with R01? +
Procedures frequently paired with R01 include: 99213, 99214, 99215.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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