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2025 ICD-10-CM code R68.83

Chills (without fever)

The code should only be used when chills are present without fever and no other specific diagnosis can be made. It is important to document the absence of fever to justify the use of this specific code.

Medical necessity is established by the provider's clinical judgment and documentation of the symptom and any related conditions or treatments.

The provider is responsible for documenting the presence of chills without fever, ruling out other potential causes, and providing appropriate treatment or further investigation if necessary.

In simple words: This code represents feeling cold and shivering without having a fever.

Chills (without fever). This code excludes chills with fever (R50.9).

Example 1: A patient presents to the clinic complaining of feeling cold and shivering but has a normal temperature. After further investigation, no other cause is found, and the chills are determined to be transient., A patient reports feeling chills during a routine check-up, but they have no fever. The provider notes the symptom but finds no underlying cause and continues to monitor the patient., A patient undergoing chemotherapy experiences chills without fever as a side effect of the treatment. The provider documents this symptom and provides appropriate supportive care.

Documentation should include the presence of chills, absence of fever, and any associated symptoms or relevant medical history. If the chills are related to a specific cause (e.g., medication side effect), this should also be documented.

** The code R68.83 represents a symptom, not a diagnosis. It should not be used if a more specific diagnosis is available.

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