ICD-10 R69
Billable / SpecificIllness, unspecified
About ICD-10-CM R69
ICD-10-CM code R69 represents Illness, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R69). The 2026 edition of ICD-10-CM R69 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R69. Per CMS ICD-10-CM Tabular 2026.
- Unknown and unspecified causes of morbidity
Medicare LCD Coverage for R69
Local Coverage Determinations (LCDs) from CMS MACs that list R69 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R69.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R69 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R69
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 R69 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R69 | 79989 | 10000 |
| R69 | 7999 | 10000 |
| R69 | V419 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R69
Other codes in section R50-R69 (General symptoms and signs).
ICD-10 R69, Billing FAQ
Is ICD-10 code R69 billable? +
Yes, R69 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 R69? +
ICD-10 R69 includes: Unknown and unspecified causes of morbidity.
What ICD-9 codes does R69 map to? +
Per CMS GEMs, R69 maps to ICD-9 codes: 79989, 7999, V419. 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 June 1, 2026.
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