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

ICD-10 R51.0

Billable / Specific

Headache with orthostatic component, not elsewhere classified

R51
Block
1
Synonyms
55
LCDs
13
Payer Policies
0
Linked CPTs

About ICD-10-CM R51.0

ICD-10-CM code R51.0 represents Headache with orthostatic component, not elsewhere classified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R51). The 2026 edition of ICD-10-CM R51.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R51.0. Per CMS ICD-10-CM Tabular 2026.

  • Headache with positional component, not elsewhere classified

Medicare LCD Coverage for R51.0

Local Coverage Determinations (LCDs) from CMS MACs that list R51.0 as a covered diagnosis.

55 LCDs

Showing top 10 of 55 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98942 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98940 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98941 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98943 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64420 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64425 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64450 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64446 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R51.0.

13 policies

5 Aetna

Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0094
Chiropractic Services
Policy ID: CPB-0107
Acupuncture and Dry Needling
Policy ID: CPB-0135
Influenza Rapid Diagnostic Tests
Policy ID: CPB-0476
Lead Testing
Policy ID: CPB-0553

3 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Headache, Occipital, and/or Trigeminal Neuralgia Treatment - (0063)
Policy ID: MM_0063
Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

5 Medicare

Billing and Coding: Chiropractic Services
Policy ID: ART-56273
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Sedimentation Rate, Erythrocyte
Policy ID: ART-57657
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57788

CPT Codes Commonly Billed with R51.0

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

No procedure linkages on file for R51.0

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.

ICD-10 R51.0, Billing FAQ

Is ICD-10 code R51.0 billable? +

Yes, R51.0 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 R51.0? +

ICD-10 R51.0 includes: Headache with positional component, not elsewhere classified.

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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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