R46 — Symptoms and signs involving appearance and behavior
Is R46 billable?
No — R46 is a non-billable header code. R46 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 10 billable codes beneath R46.
Billable codes under this header
- R46.0Very low level of personal hygiene
- R46.1Bizarre personal appearance
- R46.2Strange and inexplicable behavior
- R46.3Overactivity
- R46.4Slowness and poor responsiveness
- R46.5Suspiciousness and marked evasiveness
- R46.6Undue concern and preoccupation with stressful events
- R46.7Verbosity and circumstantial detail obscuring reason for contact
- R46.81Obsessive-compulsive behavior
- R46.89Other symptoms and signs involving appearance and behavior
R46 at a glance
| Code | R46 |
|---|---|
| Description | Symptoms and signs involving appearance and behavior |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with R46 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R46, but a patient may have both at the same time. When documentation supports it, R46 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R46, but a patient may have both at the same time. When documentation supports it, R46 and the excluded code may both be reported.
- symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
What codes fall under R46? (9)
- R46.0Very low level of personal hygiene
- R46.1Bizarre personal appearance
- R46.2Strange and inexplicable behavior
- R46.3Overactivity
- R46.4Slowness and poor responsiveness
- R46.5Suspiciousness and marked evasiveness
- R46.6Undue concern and preoccupation with stressful events
- R46.7Verbosity and circumstantial detail obscuring reason for contact
- R46.8Other symptoms and signs involving appearance and behaviornot billable
How long has R46 existed?
R46 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with R46?
ICD-10-CM declares these codes mutually exclusive with R46 — exactly one of each pair can be correct for a given encounter.