ICD-10 R03
Non-Billable HeaderAbnormal blood-pressure reading, without diagnosis
About ICD-10-CM R03
ICD-10-CM code R03 represents Abnormal blood-pressure reading, without diagnosis. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R03). The 2026 edition of ICD-10-CM R03 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.
Medicare LCD Coverage for R03
Local Coverage Determinations (LCDs) from CMS MACs that list R03 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 R03.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R03 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R03
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Codes Adjacent To R03
Other codes in section R00-R09 (Symptoms and signs involving the circulatory and respiratory systems).
ICD-10 R03, Billing FAQ
Is ICD-10 code R03 billable? +
No, R03 is a non-billable header code. Use a more specific child code from block R03 when submitting claims.
What CPT codes are commonly billed with R03? +
Procedures frequently paired with R03 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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