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

ICD-10 R60.9

Billable / Specific

Edema, unspecified

R60
Block
1
Synonyms
211
LCDs
13
Payer Policies
0
Linked CPTs

About ICD-10-CM R60.9

ICD-10-CM code R60.9 represents Edema, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R60). The 2026 edition of ICD-10-CM R60.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R60.9. Per CMS ICD-10-CM Tabular 2026.

  • Fluid retention NOS

Medicare LCD Coverage for R60.9

Local Coverage Determinations (LCDs) from CMS MACs that list R60.9 as a covered diagnosis.

211 LCDs

Showing top 10 of 211 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Peripheral Venous Ultrasound
Article ID: 52993, Effective: 2024-10-01 00:00:00, 300 covered, 1 non-covered
CPT 93971 →
CMS LCD: Billing and Coding: Peripheral Venous Ultrasound
Article ID: 52993, Effective: 2024-10-01 00:00:00, 300 covered, 1 non-covered
CPT 93970 →
CMS LCD: Billing and Coding: Duplex Scanning
Article ID: 57636, Effective: 2025-10-01 00:00:00, 432 covered, 1 non-covered
CPT 93976 →
CMS LCD: Billing and Coding: Duplex Scanning
Article ID: 57636, Effective: 2025-10-01 00:00:00, 432 covered, 1 non-covered
CPT 93979 →
CMS LCD: Billing and Coding: Duplex Scanning
Article ID: 57636, Effective: 2025-10-01 00:00:00, 432 covered, 1 non-covered
CPT 93975 →
CMS LCD: Billing and Coding: Duplex Scanning
Article ID: 57636, Effective: 2025-10-01 00:00:00, 432 covered, 1 non-covered
CPT 93978 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R60.9.

13 policies

3 Aetna

Oxygen - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0002
Routine Foot Care - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0046
Abdominoplasty, Suction Lipectomy, and Ventral Hernia Repair
Policy ID: CPB-0211

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: Peripheral Venous Ultrasound
Policy ID: ART-52993
Billing and Coding: Routine Foot Care
Policy ID: ART-52996
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56758

CPT Codes Commonly Billed with R60.9

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

No procedure linkages on file for R60.9

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.

Convert R60.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R60.9 7823 10000

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

ICD-10 R60.9, Billing FAQ

Is ICD-10 code R60.9 billable? +

Yes, R60.9 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 R60.9? +

ICD-10 R60.9 includes: Fluid retention NOS.

What ICD-9 codes does R60.9 map to? +

Per CMS GEMs, R60.9 maps to ICD-9 codes: 7823. 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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