2025 ICD-10-CM code R61

Generalized hyperhidrosis; excessive sweating.

Code first any underlying conditions that may be causing the hyperhidrosis. R61 should only be used for generalized hyperhidrosis.It should not be used when sweating is localized to a particular area of the body.Refer to ICD-10-CM guidelines for further clarification.

Medical necessity for the diagnosis and management of generalized hyperhidrosis is established when excessive sweating significantly impairs the patient's quality of life or interferes with daily activities.Further investigations may be necessary if underlying medical conditions are suspected.

The clinical responsibility for diagnosing and managing generalized hyperhidrosis involves a thorough history taking, physical examination and the possible need to investigate underlying causes through laboratory tests.Treatment options might include lifestyle modifications, medications, or other interventions as appropriate.

IMPORTANT Consider other codes depending on the underlying cause or if the hyperhidrosis is focal or localized.Codes for secondary causes (e.g., hormonal imbalances, infections) should be coded first, if applicable.

In simple words: This code means excessive sweating all over the body. It's not just in one spot, and the reason for the sweating might not be known.

R61 in ICD-10-CM classifies generalized hyperhidrosis, which is excessive sweating affecting the entire body.It is characterized by profuse perspiration, often unrelated to temperature or exertion. This code is used when the hyperhidrosis is generalized, not focal or localized.The etiology may be unclear, and it may be a symptom of another underlying condition.It excludes focal or localized primary or secondary hyperhidrosis, as well as Frey's syndrome.

Example 1: A 45-year-old female presents with complaints of excessive sweating all over her body, particularly at night.She denies any specific triggers and has no known medical conditions.The physician diagnoses generalized hyperhidrosis and orders further workup to rule out other causes.Code R61 is assigned., A 60-year-old male with a history of diabetes presents with excessive perspiration. He reports increased sweating, particularly after meals.This is coded as R61 with an additional code for his diabetes., A 22-year-old presents complaining of excessive sweating since puberty.The sweating is generalized but seems to be slightly worse during periods of stress.Physical exam is unremarkable, and blood tests show no abnormalities.R61 is assigned.

Detailed patient history regarding the onset, duration, frequency, severity, and character of the sweating; a description of any aggravating or alleviating factors; the presence or absence of associated symptoms; relevant findings from a physical examination; and results from any relevant laboratory tests or investigations.

** This code is often used as a symptom code and needs to be accompanied by a diagnosis of an underlying condition if one is found.

  • Payment Status: Active
  • Specialties:Endocrinology, Dermatology
  • Place of Service:Office, Hospital, Other outpatient settings
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