ICD-10-CM Codes
R00-R99
R50-R69
R61-
2023 ICD-10-CM Diagnosis Code R61

2023 ICD-10-CM Diagnosis Code R61

Generalized hyperhidrosis

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

R61 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 R61 became effective on October 1, 2022.
This is the American ICD-10-CM version of R61 - other international versions of ICD-10 R61 may differ.

Applicable To

Excessive sweating
Night sweats
Secondary hyperhidrosis

Code First

Code First Help

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.

, if applicable, menopausal and female climacteric states (
ICD-10-CM Diagnosis Code N95.1
Menopausal and female climacteric states
Applicable To
- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause
Type 1 Excludes
- asymptomatic menopausal state (Z78.0)
- symptoms associated with artificial menopause (E89.41)
- symptoms associated with premature menopause (E28.310)
Use Additional
- code for associated symptoms
N95.1
)

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 R61. 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.

focal (primary) (secondary) hyperhidrosis (
ICD-10-CM Diagnosis Code L74.5
Focal hyperhidrosis
L74.5-
)
Frey's syndrome (
ICD-10-CM Diagnosis Code L74.52
Secondary focal hyperhidrosis
Applicable To
- Frey's syndrome
L74.52
)
localized (primary) (secondary) hyperhidrosis (
ICD-10-CM Diagnosis Code L74.5
Focal hyperhidrosis
L74.5-
)

The following code(s) above R61 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 R61:

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

Approximate Synonyms

Excessive sweating
Hyperhidrosis (excessive sweating)
Night sweats

Clinical Information

A disorder characterized by excessive perspiration.
Excessive perspiration.
Excessive sweating. In the localized type, the most frequent sites are the palms, soles, axillae, inguinal folds, and the perineal area. Its chief cause is thought to be emotional. Generalized hyperhidrosis may be induced by a hot, humid environment, by fever, or by vigorous exercise.
Nocturnal periods of profuse diaphoresis.

ICD-10-CM R61 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

606 Minor skin disorders with mcc
607 Minor skin disorders without mcc

Convert R61 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 R61:

Type 2 Excludes: L74

ICD-10-CM Diagnosis Code L74
Eccrine sweat disorders
Type 2 Excludes
- generalized hyperhidrosis (R61)

Diagnosis Index entries containing back-references to R61:

Diaphoresis R61 (excessive)
Excess, excessive, excessively
- secretion - see also Hypersecretion
  - sweat R61
- sweating R61
Hyperhidrosis, hyperidrosis R61
- secondary R61
- generalized R61
Night
- sweats R61
Sweat, sweats
- night R61
Sweating, excessive R61

ICD-10-CM Codes Adjacent To R61

R57.9 Shock, unspecified

R58 Hemorrhage, not elsewhere classified

R59 Enlarged lymph nodes

R59.0 Localized enlarged lymph nodes

R59.1 Generalized enlarged lymph nodes

R59.9 Enlarged lymph nodes, unspecified

R60 Edema, not elsewhere classified

R60.0 Localized edema

R60.1 Generalized edema

R60.9 Edema, unspecified

R61 Generalized hyperhidrosis

R62 Lack of expected normal physiological development in childhood and adults

R62.0 Delayed milestone in childhood

R62.5 Other and unspecified lack of expected normal physiological development in childhood

R62.50 Unspecified lack of expected normal physiological development in childhood

R62.51 Failure to thrive (child)

R62.52 Short stature (child)

R62.59 Other lack of expected normal physiological development in childhood

R62.7 Adult failure to thrive

R63 Symptoms and signs concerning food and fluid intake

R63.0 Anorexia

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

2023 ICD-10-CM Diagnosis Code R61

Generalized hyperhidrosis

Menopausal and female climacteric states

Focal hyperhidrosis

Secondary focal hyperhidrosis

Focal hyperhidrosis

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

Eccrine sweat disorders