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

ICD-10 R59.0

Billable / Specific

Localized enlarged lymph nodes

R59
Block
0
Synonyms
174
LCDs
15
Payer Policies
1
Linked CPTs

About ICD-10-CM R59.0

ICD-10-CM code R59.0 represents Localized enlarged lymph nodes. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R59). The 2026 edition of ICD-10-CM R59.0 became effective on October 1, 2025.

Medicare LCD Coverage for R59.0

Local Coverage Determinations (LCDs) from CMS MACs that list R59.0 as a covered diagnosis.

174 LCDs

Showing top 10 of 174 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: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Article ID: 56448, Effective: 2025-12-04 00:00:00, 156 covered, 0 non-covered
CPT 77063 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R59.0.

15 policies

2 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538
Head and Neck Ultrasound - (0549)
Policy ID: MM_0549

5 Medicare

Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
Policy ID: ART-56448
Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580

1 Aetna

Oxaliplatin
Policy ID: CPB-0683

CPT Codes Commonly Billed with R59.0

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

1 linkages
  • 76942 Ultrasound-guided thyroid biopsy — thyroid nodule, multinodular goiter, hyperthyroidism, thyroiditis, thyroid cancer, thyroid neoplasm, lymphadenopathy, abnormal thyroid function Endocrinology

Convert R59.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R59.0 7856 10000

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

ICD-10 R59.0, Billing FAQ

Is ICD-10 code R59.0 billable? +

Yes, R59.0 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 R59.0? +

Procedures frequently paired with R59.0 include: 76942.

What ICD-9 codes does R59.0 map to? +

Per CMS GEMs, R59.0 maps to ICD-9 codes: 7856. 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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