R55
Billable

Syncope and collapse

Billable / Specific Code

What is Syncope and collapse?

ICD-10-CM R55 is the diagnosis code for Syncope and collapse. This code falls under the section "General symptoms and signs" 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.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for R55

✅ This Code Includes

  • Blackout
  • Fainting
  • Vasovagal attack

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as R55. They are mutually exclusive:

  • cardiogenic shock (R57.0)
  • carotid sinus syncope (G90.01)
  • heat syncope (T67.1)
  • neurocirculatory asthenia (F45.8)
  • neurogenic orthostatic hypotension (G90.3)
  • orthostatic hypotension (I95.1)
  • postprocedural shock (T81.1-)
  • psychogenic syncope (F48.8)
  • shock NOS (R57.9)
  • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • shock complicating or following labor and delivery (O75.1)
  • Stokes-Adams attack (I45.9)
  • unconsciousness NOS (R40.2-)

ICD-10-CM Code Hierarchy

Understanding where R55 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is R55 a billable ICD-10-CM code?

Yes, R55 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does R55 mean?

R55 is the ICD-10-CM diagnosis code for "Syncope and collapse". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is R55 in?

R55 is located in Section R50-R69 — "General symptoms and signs" within Chapter 18 of the ICD-10-CM Tabular List.

When should I use R55?

Use R55 when the patients documented diagnosis matches "Syncope and collapse" 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 Syncope and collapse?

The ICD-10-CM code for Syncope and collapse is R55.

Can R55 be used for primary diagnosis?

Yes, R55 can be used as a primary diagnosis code since it is billable and specific.

What chapter is R55 in?

R55 is in Chapter 18 of the ICD-10-CM Tabular List.

What conditions are excluded from R55?

Type 1 Excludes for R55 include: cardiogenic shock (R57.0); carotid sinus syncope (G90.01); heat syncope (T67.1) and more.

Is R55 valid for 2026?

Yes, R55 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousR54Age-related physical debilityNext →R56Convulsions, not elsewhere classified
Code Details
R55
Syncope and collapse
Billable / Specific Code
18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R50-R69 — General symptoms and signs
2026 ICD-10-CM