2023

  1. ICD-10-CM Codes
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  2. R00-R99
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  3. R00-R09
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  4. R06-
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  5. 2023 ICD-10-CM Diagnosis Code R06.81

2023 ICD-10-CM Diagnosis Code R06.81

Apnea, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • R06.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM R06.81 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R06.81 - other international versions of ICD-10 R06.81 may differ.
Applicable To
  • Apnea NOS
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R06.81. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • apnea (of) newborn (
    ICD-10-CM Diagnosis Code P28.4

    Other apnea of newborn

      2016 2017 2018 2019 2020 2021 2022 2023 - Converted to Parent Code Non-Billable/Non-Specific Code
    Type 2 Excludes
    • primary sleep apnea of newborn (P28.3-)
    P28.4-
    )
  • sleep apnea (
    ICD-10-CM Diagnosis Code G47.3

    Sleep apnea

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code Also
    • any associated underlying condition
    Type 1 Excludes
    G47.3-
    )
  • sleep apnea of newborn (primary) (
    ICD-10-CM Diagnosis Code P28.3

    Primary sleep apnea of newborn

      2016 2017 2018 2019 2020 2021 2022 2023 - Converted to Parent Code Non-Billable/Non-Specific Code
    Applicable To
    • Sleep apnea of newborn NOS
    Type 2 Excludes
    • other apnea of newborn (P28.4-)
    P28.3-
    )
The following code(s) above R06.81 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R06.81:
  • R00-R99
    2023 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    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.
    Type 2 Excludes
    • 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)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R06
    ICD-10-CM Diagnosis Code R06

    Abnormalities of breathing

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory distress syndrome (J80)
    • respiratory arrest (R09.2)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress syndrome of newborn (P22.-)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    Abnormalities of breathing
Approximate Synonyms
  • Apnea
  • Apnea or apneic event
  • Central apnea due to periodic breathing
  • Respiratory tract paralysis
Clinical Information
  • A disorder characterized by cessation of breathing.
  • A transient absence of spontaneous respiration.
  • Cessation of breathing.
  • Temporary absence of breathing or prolonged respiratory failure.
  • Transient cessation of respiration.
ICD-10-CM R06.81 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 204 Respiratory signs and symptoms

Convert R06.81 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to R06.81:
  • Type 1 Excludes: G47.3
    , Z03.83
    ICD-10-CM Diagnosis Code G47.3

    Sleep apnea

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code Also
    • any associated underlying condition
    Type 1 Excludes
    ICD-10-CM Diagnosis Code Z03.83

    Encounter for observation for suspected conditions related to home physiologic monitoring device ruled out

      2023 - New Code Billable/Specific Code POA Exempt
    Applicable To
    • Encounter for observation for apnea alarm without findings
    • Encounter for observation for bradycardia alarm without findings
    • Encounter for observation for malfunction of home cardiorespiratory monitor
    • Encounter for observation for non-specific findings home physiologic monitoring device
    • Encounter for observation for pulse oximeter alarm without findings
    Type 1 Excludes
  • Type 2 Excludes: J98
    ICD-10-CM Diagnosis Code J98

    Other respiratory disorders

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Diagnosis Index entries containing back-references to R06.81:
  • Apnea, apneic (of) (spells) R06.81
  • Breathlessness R06.81
  • Paralysis, paralytic (complete) (incomplete) G83.9
    ICD-10-CM Diagnosis Code G83.9

    Paralytic syndrome, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • Smothering spells R06.81

ICD-10-CM Codes Adjacent To R06.81
R06.03 Acute respiratory distress
R06.09 Other forms of dyspnea
R06.1 Stridor
R06.2 Wheezing
R06.3 Periodic breathing
R06.4 Hyperventilation
R06.5 Mouth breathing
R06.6 Hiccough
R06.7 Sneezing
R06.8 Other abnormalities of breathing
R06.81 Apnea, not elsewhere classified
R06.82 Tachypnea, not elsewhere classified
R06.83 Snoring
R06.89 Other abnormalities of breathing
R06.9 Unspecified abnormalities of breathing
R07 Pain in throat and chest
R07.0 Pain in throat
R07.1 Chest pain on breathing
R07.2 Precordial pain
R07.8 Other chest pain
R07.81 Pleurodynia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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