Shortness of Breath ICD-10 Coding Guide

Also known as

  • Dyspnea
  • Breathlessness

Abbreviations

  • SOB
  • DOE

The ICD-10-CM code for shortness of breath is R06.02 (Shortness of breath), a billable code reported when a patient presents with difficulty breathing or dyspnea as a documented symptom.

Primary codes

Billable

Billable

Extension

7th character

POA exempt

No

Coding risks

  • Sequencing as primary when this should be a secondary diagnosis

Code comparison

Compare key differences between related codes to select the most specific option.

CodeDescriptionScenario
R06.02Shortness of breathPatient reports shortness of breath without positional trigger or acute distress noted.
R06.00Dyspnea, unspecifiedDyspnea documented without specifying type, positional trigger, or acute distress.
R06.01OrthopneaPatient with dyspnea specifically when lying flat, relieved by sitting upright.
R06.03Acute respiratory distressPatient presenting with acute respiratory distress documented, distinct from routine dyspnea or positional breathlessness.

Select the most specific code supported by the encounter documentation. More specific codes improve reimbursement accuracy and reduce audit risk.

Code ranges

Coding risks

Avoid these common coding issues when reporting Shortness of Breath.

Impact

Assigning R06.02 without explicit type may miscode orthopnea (R06.01) or acute respiratory distress (R06.03).

Mitigation

Consider querying the provider when positional or acuity language is absent rather than inferring from vitals or oxygen saturation.

Ancillary and co-coding

Codes commonly reported with the primary diagnosis on the same claim.

In pregnancy

Pregnancy-specific O-code adaptations used in place of the primary when the condition occurs during or complicates pregnancy.

Differential codes

Alternative or commonly confused codes to consider when documentation suggests a different condition than the primary diagnosis.

Frequently asked questions

Use R06.00 only when the chart documents dyspnea without specifying the type. If shortness of breath is stated, R06.02 is more specific.

References

Compiled from the following authoritative coding references. Last updated 2026-08-04.

Disclaimer

This page is compiled from authoritative coding references for educational and reference purposes only. It is not medical advice, billing authority, or an official source of ICD-10-CM guidelines. Always verify codes against the current CMS ICD-10-CM Official Guidelines, AHIMA guidance, and your organization’s coding policies. ICD-10-CM is updated annually on October 1.