R46 Symptoms and signs involving appearance and behavior

Category / Non-billable header 11 subcodes

Block: Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Excludes 1 (cannot be coded together)

  • appearance and behavior in schizophrenia, schizotypal and delusional disorders (F20-F29)
  • mental and behavioral disorders (F01-F99)

Subcodes

Subcodes are listed below for reference. Detail pages are not available for chapters 11–22.

Code Description Billable
R46..0 Very low level of personal hygiene Yes
R46..1 Bizarre personal appearance Yes
R46..2 Strange and inexplicable behavior Yes
R46..3 Overactivity Yes
R46..4 Slowness and poor responsiveness Yes
R46..5 Suspiciousness and marked evasiveness Yes
R46..6 Undue concern and preoccupation with stressful events Yes
R46..7 Verbosity and circumstantial detail obscuring reason for contact Yes
R46..8 Other symptoms and signs involving appearance and behavior No
R46..81 Obsessive-compulsive behavior Yes
R46..89 Other symptoms and signs involving appearance and behavior Yes

Last reviewed: September 2026