L74.5 vs R61
L74.5 (Focal hyperhidrosis) compared with R61 (Generalized hyperhidrosis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
Yes, when both are documented. L74.5 carries an Excludes2 note covering R61: “generalized hyperhidrosis (R61)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
No — do not report together. R61 carries an Excludes1 note covering L74.5: “focal (primary) (secondary) hyperhidrosis (L74.5-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. R61 carries an Excludes1 note covering L74.5: “localized (primary) (secondary) hyperhidrosis (L74.5-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| L74.5Focal hyperhidrosis | R61Generalized hyperhidrosis | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Focal hyperhidrosis is a non-billable ICD-10-CM category code (L74.5). | Generalized hyperhidrosis is a billable ICD-10-CM diagnosis code (R61). |
| Includes | — | Excessive sweating Night sweats Secondary hyperhidrosis |
| Code first | — | , if applicable, menopausal and female climacteric states (N95.1) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources