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

ICD-10 R55

Billable / Specific

Syncope and collapse

R55
Block
3
Synonyms
686
LCDs
49
Payer Policies
18
Linked CPTs

About ICD-10-CM R55

ICD-10-CM code R55 represents Syncope and collapse. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R55). The 2026 edition of ICD-10-CM R55 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R55. Per CMS ICD-10-CM Tabular 2026.

  • Blackout
  • Fainting
  • Vasovagal attack

Type 1 Excludes

Pure excludes, these codes can never be coded together with R55. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • cardiogenic shock (R57.0)
  • carotid sinus syncope (G90.01)
  • heat syncope (T67.1)
  • neurocirculatory asthenia (F45.8)
  • neurogenic orthostatic hypotension (G90.3)
  • orthostatic hypotension (I95.1)
  • postprocedural shock (T81.1-)
  • psychogenic syncope (F48.8)
  • shock NOS (R57.9)
  • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • shock complicating or following labor and delivery (O75.1)
  • Stokes-Adams attack (I45.9)
  • unconsciousness NOS (R40.2-)

Medicare LCD Coverage for R55

Local Coverage Determinations (LCDs) from CMS MACs that list R55 as a covered diagnosis.

686 LCDs

Showing top 10 of 686 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 R55.

49 policies

4 Aetna

Holter Monitors - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0019
Automated Ambulatory Blood Pressure Monitoring - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0025
Allergy and Hypersensitivity - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0038
Cardiac Event Monitors - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0073

3 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
Policy ID: ART-52992
Billing and Coding: Autonomic Function Tests
Policy ID: ART-54954
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Cardiac Event Detection
Policy ID: ART-56452
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476

CPT Codes Commonly Billed with R55

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

18 linkages
  • 93015 Stress test — chest pain, palpitations, syncope, known CAD Cardiovascular Disease
  • 99285 High-level ER E/M — MI, cardiac arrest, respiratory failure, chest pain, syncope, head injury Emergency Medicine
  • 99281 Emergency department visit for level 1 patient Emergency Medicine
  • 99282 Emergency department visit for level 2 patient Emergency Medicine
  • 99283 Emergency department visit for level 3 patient Emergency Medicine
  • 99284 Emergency department visit for level 4 patient Emergency Medicine
  • 99285 Emergency department visit for level 5 patient Emergency Medicine
  • 99205 New patient office visit — complex/high-risk: uncontrolled diabetes, heart failure, COPD exacerbation, cancer, MS, RA, CKD, CAD, recurrent depression, epilepsy, lupus, syncope, cognitive decline Primary Care
  • 99215 Established patient — high complexity: HF exacerbation, COPD exacerbation, cancer management, MS, advanced CKD, uncontrolled diabetes, recurrent syncope, respiratory failure, liver cirrhosis Primary Care
  • 93000 EKG 12-lead — tachycardia, bradycardia, palpitations, HTN, CAD, AFib, arrhythmia, chest pain, syncope, cardiomyopathy, AV block, bundle branch block, SVT, VT, diabetes screening, abnormal EKG Cardiology

Convert R55 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R55 7802 00000

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

ICD-10 R55, Billing FAQ

Is ICD-10 code R55 billable? +

Yes, R55 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 R55? +

ICD-10 R55 includes: Blackout; Fainting; Vasovagal attack.

What codes are Type 1 Excludes for R55? +

Type 1 Excludes (never code together with R55): cardiogenic shock (R57.0); carotid sinus syncope (G90.01); heat syncope (T67.1)

What CPT codes are commonly billed with R55? +

Procedures frequently paired with R55 include: 93015, 99285, 99281, 99282, 99283.

What ICD-9 codes does R55 map to? +

Per CMS GEMs, R55 maps to ICD-9 codes: 7802. 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 July 16, 2026.

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