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

ICD-10 R06.02

Billable / Specific

Shortness of breath

R06
Block
0
Synonyms
1,309
LCDs
56
Payer Policies
4
Linked CPTs

About ICD-10-CM R06.02

ICD-10-CM code R06.02 represents Shortness of breath. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R06). The 2026 edition of ICD-10-CM R06.02 became effective on October 1, 2025.

Medicare LCD Coverage for R06.02

Local Coverage Determinations (LCDs) from CMS MACs that list R06.02 as a covered diagnosis.

1,309 LCDs

Showing top 10 of 1,309 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 82785 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 86003 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R06.02.

56 policies

1 Aetna

Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008

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: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
Policy ID: ART-56425
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Cardiovascular Nuclear Medicine
Policy ID: ART-56494

CPT Codes Commonly Billed with R06.02

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

4 linkages
  • 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
  • 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
  • 94060 Spirometry pre and post bronchodilator — asthma diagnosis/monitoring, dyspnea, wheezing, chronic cough Pulmonology

Convert R06.02 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R06.02 78605 00000

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

ICD-10 R06.02, Billing FAQ

Is ICD-10 code R06.02 billable? +

Yes, R06.02 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 R06.02? +

Procedures frequently paired with R06.02 include: 71046, 71260, 94010, 94060.

What ICD-9 codes does R06.02 map to? +

Per CMS GEMs, R06.02 maps to ICD-9 codes: 78605. 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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