ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R01.0

Billable / Specific

Benign and innocent cardiac murmurs

R01
Block
1
Synonyms
95
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM R01.0

ICD-10-CM code R01.0 represents Benign and innocent cardiac murmurs. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R01). The 2026 edition of ICD-10-CM R01.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R01.0. Per CMS ICD-10-CM Tabular 2026.

  • Functional cardiac murmur

Medicare LCD Coverage for R01.0

Local Coverage Determinations (LCDs) from CMS MACs that list R01.0 as a covered diagnosis.

95 LCDs

Showing top 10 of 95 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93320 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 76376 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J0461 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93306 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93325 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J2785 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT A9700 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT Q9955 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93352 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J3490 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R01.0.

5 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

4 Medicare

Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-57306
Billing and Coding: Electrocardiograms
Policy ID: ART-57326

CPT Codes Commonly Billed with R01.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for R01.0

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert R01.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R01.0 7852 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R01.0, Billing FAQ

Is ICD-10 code R01.0 billable? +

Yes, R01.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R01.0? +

ICD-10 R01.0 includes: Functional cardiac murmur.

What ICD-9 codes does R01.0 map to? +

Per CMS GEMs, R01.0 maps to ICD-9 codes: 7852. Useful for legacy data review and historical claim analysis.

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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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