Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note:
This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Excludes 2:
abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

General symptoms and signs (R50-R69)

R50 Fever of other and unknown origin [+]
Excludes 1: chills without fever (R68.83)
febrile convulsions (R56.0-)
fever of unknown origin during labor (O75.2)
fever of unknown origin in newborn (P81.9)
hypothermia due to illness (R68.0)
malignant hyperthermia due to anesthesia (T88.3)
puerperal pyrexia NOS (O86.4)
R51 Headache [+]
Excludes 2: atypical face pain (G50.1)
migraine and other headache syndromes (G43-G44)
trigeminal neuralgia (G50.0)
R52 Pain, unspecified
Acute pain NOS
Generalized pain NOS
Pain NOS
Excludes 1: acute and chronic pain, not elsewhere classified (G89.-)
localized pain, unspecified type - code to pain by site, such as:
abdomen pain (R10.-)
back pain (M54.9)
breast pain (N64.4)
chest pain (R07.1-R07.9)
ear pain (H92.0-)
eye pain (H57.1)
headache (R51.9)
joint pain (M25.5-)
limb pain (M79.6-)
lumbar region pain (M54.5-)
pelvic and perineal pain (R10.2)
shoulder pain (M25.51-)
spine pain (M54.-)
throat pain (R07.0)
tongue pain (K14.6)
tooth pain (K08.8)
renal colic (N23)
pain disorders exclusively related to psychological factors (F45.41)
R53 Malaise and fatigue [+]
R54 Age-related physical debility
Frailty
Old age
Senescence
Senile asthenia
Senile debility
Excludes 1: age-related cognitive decline (R41.81)
sarcopenia (M62.84)
senile psychosis (F03)
senility NOS (R41.81)
R55 Syncope and collapse
Blackout
Fainting
Vasovagal attack
Excludes 1: cardiogenic shock (R57.0)
carotid sinus syncope (G90.01)
heat syncope (T67.1)
neurocirculatory asthenia (F45.8)
neurogenic orthostatic hypotension (G90.3)
orthostatic hypotension (I95.1)
postprocedural shock (T81.1-)
psychogenic syncope (F48.8)
shock NOS (R57.9)
shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
shock complicating or following labor and delivery (O75.1)
Stokes-Adams attack (I45.9)
unconsciousness NOS (R40.2-)
R56 Convulsions, not elsewhere classified [+]
Excludes 1: dissociative convulsions and seizures (F44.5)
epileptic convulsions and seizures (G40.-)
newborn convulsions and seizures (P90)
R57 Shock, not elsewhere classified [+]
Excludes 1: anaphylactic shock NOS (T78.2)
anaphylactic reaction or shock due to adverse food reaction (T78.0-)
anaphylactic shock due to adverse effect of correct drug or medicament properly administered (T88.6)
anaphylactic shock due to serum (T80.5-)
electric shock (T75.4)
obstetric shock (O75.1)
postprocedural shock (T81.1-)
psychic shock (F43.0)
shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)
shock due to anesthesia (T88.2)
shock due to lightning (T75.01)
traumatic shock (T79.4)
toxic shock syndrome (A48.3)
R58 Hemorrhage, not elsewhere classified
Hemorrhage NOS
Excludes 1: hemorrhage included with underlying conditions, such as:
acute duodenal ulcer with hemorrhage (K26.0)
acute gastritis with bleeding (K29.01)
ulcerative enterocolitis with rectal bleeding (K51.01)
R59 Enlarged lymph nodes [+]
Includes: swollen glands
Excludes 1: lymphadenitis NOS (I88.9)
acute lymphadenitis (L04.-)
chronic lymphadenitis (I88.1)
mesenteric (acute) (chronic) lymphadenitis (I88.0)
R60 Edema, not elsewhere classified [+]
Excludes 1: angioneurotic edema (T78.3)
ascites (R18.-)
cerebral edema (G93.6)
cerebral edema due to birth injury (P11.0)
edema of larynx (J38.4)
edema of nasopharynx (J39.2)
edema of pharynx (J39.2)
gestational edema (O12.0-)
hereditary edema (Q82.0)
hydrops fetalis NOS (P83.2)
hydrothorax (J94.8)
newborn edema (P83.3)
pulmonary edema (J81.-)
R61 Generalized hyperhidrosis
Excessive sweating
Night sweats
Secondary hyperhidrosis
Code first , if applicable, menopausal and female climacteric states (N95.1)
Excludes 1: focal (primary) (secondary) hyperhidrosis (L74.5-)
Frey's syndrome (L74.52)
localized (primary) (secondary) hyperhidrosis (L74.5-)
R62 Lack of expected normal physiological development in childhood and adults [+]
Excludes 1: delayed puberty (E30.0)
gonadal dysgenesis (Q99.1)
hypopituitarism (E23.0)
R63 Symptoms and signs concerning food and fluid intake [+]
Excludes 1: bulimia NOS (F50.2)
R64 Cachexia
Excludes 1: abnormal weight loss (R63.4)
cachexia due to underlying condition (E88.A)
nutritional marasmus (E41)
R65 Symptoms and signs specifically associated with systemic inflammation and infection [+]
R68 Other general symptoms and signs [+]
R69 Illness, unspecified
Unknown and unspecified cases of morbidity

Back to Previous Page