ICD-10 · PDGM grouping
R50-R69 — General symptoms and signs
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
68
No clinical group
68
A period cannot be grouped from these.
Barred as primary
4
CMS rejects these in the primary position.
Where these codes group
None of the 68 codes in R50-R69 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in R50-R69
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- R50Fever of other and unknown origin6 codes
- R51Headache2 codes
- R52Pain, unspecified1 code
- R53Malaise and fatigue6 codes
- R54Age-related physical debility1 code
- R55Syncope and collapse1 code
- R56Convulsions, not elsewhere classified4 codes
- R57Shock, not elsewhere classified4 codes
- R58Hemorrhage, not elsewhere classified1 code
- R59Enlarged lymph nodes3 codes
- R60Edema, not elsewhere classified3 codes
- R61Generalized hyperhidrosis1 code
- R62Lack of expected normal physiological development in childhood and adults6 codes
- R63Symptoms and signs concerning food and fluid intake11 codes
- R64Cachexia1 code
- R65Symptoms and signs specifically associated with systemic inflammation and infection4 codes
- R68Other general symptoms and signs12 codes
- R69Illness, unspecified1 code
Every code in R50-R69
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| R502 | Drug induced fever | None | Cannot lead a claim |
| R5081 | Fever presenting with conditions classified elsewhere | None | Cannot lead a claim |
| R5082 | Postprocedural fever | None | Cannot lead a claim |
| R5083 | Postvaccination fever | None | Cannot lead a claim |
| R5084 | Febrile nonhemolytic transfusion reaction | None | Cannot lead a claim |
| R509 | Fever, unspecified | None | Cannot lead a claim |
| R510 | Headache with orthostatic component, NEC | None | Cannot lead a claim |
| R519 | Headache, unspecified | None | Cannot lead a claim |
| R52 | Pain, unspecified | None | Cannot lead a claim |
| R530 | Neoplastic (malignant) related fatigue | None | Cannot lead a claim |
| R531 | Weakness | None | Cannot lead a claim |
| R532 | Functional quadriplegia | None | Cannot lead a claim |
| R5381 | Other malaise | None | Cannot lead a claim |
| R5382 | Chronic fatigue, unspecified | None | Cannot lead a claim |
| R5383 | Other fatigue | None | Cannot lead a claim |
| R54 | Age-related physical debility | None | Cannot lead a claim |
| R55 | Syncope and collapse | None | Cannot lead a claim |
| R5600 | Simple febrile convulsions | None | Cannot lead a claim |
| R5601 | Complex febrile convulsions | None | Cannot lead a claim |
| R561 | Post traumatic seizures | None | Cannot lead a claim |
| R569 | Unspecified convulsions | None | Cannot lead a claim |
| R570 | Cardiogenic shock | None | Cannot lead a claim |
| R571 | Hypovolemic shock | None | Cannot lead a claim |
| R578 | Other shock | None | Cannot lead a claim |
| R579 | Shock, unspecified | None | Cannot lead a claim |
| R58 | Hemorrhage, not elsewhere classified | None | Cannot lead a claim |
| R590 | Localized enlarged lymph nodes | None | Cannot lead a claim |
| R591 | Generalized enlarged lymph nodes | None | Cannot lead a claim |
| R599 | Enlarged lymph nodes, unspecified | None | Cannot lead a claim |
| R600 | Localized edema | None | Cannot lead a claim |
| R601 | Generalized edema | None | Cannot lead a claim |
| R609 | Edema, unspecified | None | Cannot lead a claim |
| R61 | Generalized hyperhidrosis | None | Cannot lead a claim |
| R620 | Delayed milestone in childhood | None | Cannot lead a claim |
| R6250 | Unsp lack of expected normal physiol dev in childhood | None | Cannot lead a claim |
| R6251 | Failure to thrive (child) | None | Cannot lead a claim |
| R6252 | Short stature (child) | None | Cannot lead a claim |
| R6259 | Oth lack of expected normal physiol development in childhood | None | Cannot lead a claim |
| R627 | Adult failure to thrive | None | Cannot lead a claim |
| R630 | Anorexia | None | Cannot lead a claim |
| R631 | Polydipsia | None | Cannot lead a claim |
| R632 | Polyphagia | None | Cannot lead a claim |
| R6330 | Feeding difficulties, unspecified | None | Cannot lead a claim |
| R6331 | Pediatric feeding disorder, acute | None | Cannot lead a claim |
| R6332 | Pediatric feeding disorder, chronic | None | Cannot lead a claim |
| R6339 | Other feeding difficulties | None | Cannot lead a claim |
| R634 | Abnormal weight loss | None | Cannot lead a claim |
| R635 | Abnormal weight gain | None | Cannot lead a claim |
| R636 | Underweight | None | Cannot lead a claim |
| R638 | Other symptoms and signs concerning food and fluid intake | None | Cannot lead a claim |
| R64 | Cachexia | None | Cannot lead a claim |
| R6510 | SIRS of non-infectious origin w/o acute organ dysfunction | None | Cannot lead a claim |
| R6511 | SIRS of non-infectious origin w acute organ dysfunction | None | Cannot lead a claim |
| R6520 | Severe sepsis without septic shock | None | Cannot lead a claim |
| R6521 | Severe sepsis with septic shock | None | Cannot lead a claim |
| R680 | Hypothermia, not associated w low environmental temperature | None | Cannot lead a claim |
| R6811 | Excessive crying of infant (baby) | None | Cannot lead a claim |
| R6812 | Fussy infant (baby) | None | Cannot lead a claim |
| R6813 | Apparent life threatening event in infant (ALTE) | None | Cannot lead a claim |
| R6819 | Other nonspecific symptoms peculiar to infancy | None | Cannot lead a claim |
| R682 | Dry mouth, unspecified | None | Cannot lead a claim |
| R683 | Clubbing of fingers | None | Cannot lead a claim |
| R6881 | Early satiety | None | Cannot lead a claim |
| R6882 | Decreased libido | None | Cannot lead a claim |
| R6883 | Chills (without fever) | None | Cannot lead a claim |
| R6884 | Jaw pain | None | Cannot lead a claim |
| R6889 | Other general symptoms and signs | None | Cannot lead a claim |
| R69 | Illness, unspecified | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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