PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R50.9

Billable / Specific

Fever, unspecified

R50
Block
7
Synonyms
721
LCDs
20
Payer Policies
7
Linked CPTs

About ICD-10-CM R50.9

ICD-10-CM code R50.9 represents Fever, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R50). The 2026 edition of ICD-10-CM R50.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R50.9. Per CMS ICD-10-CM Tabular 2026.

  • Fever NOS
  • Fever of unknown origin [FUO]
  • Fever with chills
  • Fever with rigors
  • Hyperpyrexia NOS
  • Persistent fever
  • Pyrexia NOS

Medicare LCD Coverage for R50.9

Local Coverage Determinations (LCDs) from CMS MACs that list R50.9 as a covered diagnosis.

721 LCDs

Showing top 10 of 721 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Positron Emission Tomography (PET) Scan for Inflammation and Infection
Article ID: 59318, Effective: 2026-01-22 00:00:00, 85 covered, 0 non-covered
CPT G0235 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R50.9.

20 policies

2 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Policy ID: ART-55326
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781

4 Aetna

Cholecystokinin Cholescintigraphy
Policy ID: CPB-0266
Single Photon Emission Computed Tomography (SPECT)
Policy ID: CPB-0376
Influenza Rapid Diagnostic Tests
Policy ID: CPB-0476
Capsule Endoscopy
Policy ID: CPB-0588

CPT Codes Commonly Billed with R50.9

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

7 linkages
  • 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
  • 99212 Established patient — URI, UTI, pharyngitis, otitis, dermatitis, rash, viral infection, cellulitis, conjunctivitis, sinusitis, bronchitis, ankle sprain Primary Care
  • 85025 CBC with differential — anemia, iron deficiency, fatigue, thrombocytopenia, neutropenia, leukemia, lymphoma, abnormal labs, routine exam, screening, fever, elevated WBC Laboratory
  • 81001 Urinalysis with microscopy — UTI, cystitis, dysuria, urinary frequency, abnormal urine, pyelonephritis, chronic pyelonephritis, fever, kidney stone Laboratory
  • 99281 ED visit level 1 — fever, cough, URI, abdominal pain, dizziness, laceration, ankle sprain, nausea, minor injury Emergency Medicine
  • 99282 ED visit level 2 — same as level 1 with low complexity MDM Emergency Medicine

Convert R50.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R50.9 78060 10000

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

ICD-10 R50.9, Billing FAQ

Is ICD-10 code R50.9 billable? +

Yes, R50.9 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 R50.9? +

ICD-10 R50.9 includes: Fever NOS; Fever of unknown origin [FUO]; Fever with chills, and 4 more clinical synonyms.

What CPT codes are commonly billed with R50.9? +

Procedures frequently paired with R50.9 include: 99202, 99203, 99212, 85025, 81001.

What ICD-9 codes does R50.9 map to? +

Per CMS GEMs, R50.9 maps to ICD-9 codes: 78060. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking