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

ICD-10 R06.00

Billable / Specific

Dyspnea, unspecified

R06
Block
0
Synonyms
407
LCDs
37
Payer Policies
15
Linked CPTs

About ICD-10-CM R06.00

ICD-10-CM code R06.00 represents Dyspnea, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R06). The 2026 edition of ICD-10-CM R06.00 became effective on October 1, 2025.

Medicare LCD Coverage for R06.00

Local Coverage Determinations (LCDs) from CMS MACs that list R06.00 as a covered diagnosis.

407 LCDs

Showing top 10 of 407 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93298 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0937T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R06.00.

37 policies

3 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008
Pulmonary Rehabilitation - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0032

2 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
Policy ID: ART-56425
Billing and Coding: Cardiac Event Detection
Policy ID: ART-56452
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Cardiovascular Nuclear Medicine
Policy ID: ART-56494
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580

CPT Codes Commonly Billed with R06.00

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

15 linkages
  • 99285 High-level ER E/M — MI, cardiac arrest, respiratory failure, chest pain, syncope, head injury Emergency Medicine
  • 99202 New patient office visit — fever, headache, abdominal pain, cough, dyspnea, fatigue, dizziness, limb pain, nausea, routine exam, URI, UTI, pharyngitis, otitis, chest pain, weight loss Primary Care
  • 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
  • 93306 Echo with Doppler — heart failure, cardiomyopathy, mitral/aortic/tricuspid valve disease, chest pain, dyspnea, CAD, pulmonary HTN, ASD, VSD, congenital valve Cardiology
  • 93015 Stress test cardiovascular — chest pain, CAD, angina, tachycardia, dyspnea, HTN, diabetes, syncope, cardiac screening Cardiology
  • 93350 Stress echo — known/suspected CAD, chest pain, angina, abnormal EKG, cardiomyopathy, HF, dyspnea Cardiology
  • 71046 Chest X-ray 2 views — cough, dyspnea, wheezing, chest pain, pneumonia, COPD exacerbation, asthma exacerbation, respiratory failure, lung nodule, pneumothorax, heart failure, hx pneumonia, TB, hypoxemia Radiology
  • 71250 CT chest without contrast — pulmonary nodule, lung mass, lung cancer, pulmonary mets, chronic cough, dyspnea, pneumothorax, PE, lung disease, hx lung cancer, bronchial neoplasm Radiology
  • 71260 CT chest with contrast — pulmonary embolism, chest pain, dyspnea, wheezing, pulmonary HTN, lung cancer, nodule, thrombophilia Radiology
  • 94010 Spirometry — asthma all severity, COPD, COPD with exacerbation, dyspnea, wheezing, chronic cough, pulmonary disease, pulmonary fibrosis Pulmonology

Convert R06.00 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R06.00 78609 10000

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

ICD-10 R06.00, Billing FAQ

Is ICD-10 code R06.00 billable? +

Yes, R06.00 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with R06.00? +

Procedures frequently paired with R06.00 include: 99285, 99202, 99203, 93306, 93015.

What ICD-9 codes does R06.00 map to? +

Per CMS GEMs, R06.00 maps to ICD-9 codes: 78609. 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 June 1, 2026.

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