R12
Billable

Heartburn

Billable / Specific Code

What is Heartburn?

ICD-10-CM R12 is the diagnosis code for Heartburn. This code falls under the section "Symptoms and signs involving the digestive system and abdomen" within Chapter 18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for R12

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as R12. They are mutually exclusive:

  • functional dyspepsia (K30)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in R12. If the patient has both, code each condition separately:

  • dyspepsia NOS (R10.13)

ICD-10-CM Code Hierarchy

Understanding where R12 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is R12 a billable ICD-10-CM code?

Yes, R12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does R12 mean?

R12 is the ICD-10-CM diagnosis code for "Heartburn". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is R12 in?

R12 is located in Section R10-R19 — "Symptoms and signs involving the digestive system and abdomen" within Chapter 18 of the ICD-10-CM Tabular List.

When should I use R12?

Use R12 when the patients documented diagnosis matches "Heartburn" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Heartburn?

The ICD-10-CM code for Heartburn is R12.

Can R12 be used for primary diagnosis?

Yes, R12 can be used as a primary diagnosis code since it is billable and specific.

What chapter is R12 in?

R12 is in Chapter 18 of the ICD-10-CM Tabular List.

What conditions are excluded from R12?

Type 1 Excludes for R12 include: functional dyspepsia (K30).

Is R12 valid for 2026?

Yes, R12 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousR11.2Nausea with vomiting, unspecifiedNext →R13Aphagia and dysphagia
Code Details
R12
Heartburn
Billable / Specific Code
18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R10-R19 — Symptoms and signs involving the digestive system and abdomen
2026 ICD-10-CM