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

ICD-10 R61

Billable / Specific

Generalized hyperhidrosis

R61
Block
3
Synonyms
24
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM R61

ICD-10-CM code R61 represents Generalized hyperhidrosis. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R61). The 2026 edition of ICD-10-CM R61 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R61. Per CMS ICD-10-CM Tabular 2026.

  • Excessive sweating
  • Night sweats
  • Secondary hyperhidrosis

Type 1 Excludes

Pure excludes, these codes can never be coded together with R61. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • focal (primary) (secondary) hyperhidrosis (L74.5-)
  • Frey's syndrome (L74.52)
  • localized (primary) (secondary) hyperhidrosis (L74.5-)

Coding Notes

Code First

  • , if applicable, menopausal and female climacteric states (N95.1)

Medicare LCD Coverage for R61

Local Coverage Determinations (LCDs) from CMS MACs that list R61 as a covered diagnosis.

24 LCDs

Showing top 10 of 24 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Autonomic Function Testing
Article ID: 57024, Effective: 2023-10-01 00:00:00, 64 covered, 0 non-covered
CPT 95921 →
CMS LCD: Billing and Coding: Autonomic Function Testing
Article ID: 57024, Effective: 2023-10-01 00:00:00, 64 covered, 0 non-covered
CPT 95923 →
CMS LCD: Billing and Coding: Autonomic Function Testing
Article ID: 57024, Effective: 2023-10-01 00:00:00, 64 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Autonomic Function Testing
Article ID: 57024, Effective: 2023-10-01 00:00:00, 64 covered, 0 non-covered
CPT 95922 →
CMS LCD: Billing and Coding: Autonomic Function Testing
Article ID: 57024, Effective: 2023-10-01 00:00:00, 64 covered, 0 non-covered
CPT 95924 →
CMS LCD: Billing and Coding: Autonomic Function Tests
Article ID: 54954, Effective: 2023-01-01 00:00:00, 48 covered, 1 non-covered
CPT 95921 →
CMS LCD: Billing and Coding: Autonomic Function Tests
Article ID: 54954, Effective: 2023-01-01 00:00:00, 48 covered, 1 non-covered
CPT 95923 →
CMS LCD: Billing and Coding: Autonomic Function Tests
Article ID: 54954, Effective: 2023-01-01 00:00:00, 48 covered, 1 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Autonomic Function Tests
Article ID: 54954, Effective: 2023-01-01 00:00:00, 48 covered, 1 non-covered
CPT 95922 →
CMS LCD: Billing and Coding: Autonomic Function Tests
Article ID: 54954, Effective: 2023-01-01 00:00:00, 48 covered, 1 non-covered
CPT 95924 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R61.

5 policies

5 Medicare

Billing and Coding: Autonomic Function Tests
Policy ID: ART-54954
Billing and Coding: Autonomic Function Testing
Policy ID: ART-57024
Billing and Coding: Electrocardiograms
Policy ID: ART-57326
Billing and Coding: Autonomic Function Testing
Policy ID: ART-57551
Billing and Coding: Autonomic Function Tests
Policy ID: ART-57651

CPT Codes Commonly Billed with R61

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

No procedure linkages on file for R61

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 R61 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R61 7808 00000

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

ICD-10 R61, Billing FAQ

Is ICD-10 code R61 billable? +

Yes, R61 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 R61? +

ICD-10 R61 includes: Excessive sweating; Night sweats; Secondary hyperhidrosis.

What codes are Type 1 Excludes for R61? +

Type 1 Excludes (never code together with R61): focal (primary) (secondary) hyperhidrosis (L74.5-); Frey's syndrome (L74.52); localized (primary) (secondary) hyperhidrosis (L74.5-)

What ICD-9 codes does R61 map to? +

Per CMS GEMs, R61 maps to ICD-9 codes: 7808. 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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