ICD-10-CM diagnosis code
R46.0 Very low level of personal hygiene
- Billable
- Yes, a complete code (FY2026)
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Other codes in R46
10 complete codes in this category.
- R46.0Very low level of personal hygiene
- R46.1Bizarre personal appearance
- R46.2Strange and inexplicable behavior
- R46.3Overactivity
- R46.4Slowness and poor responsiveness
- R46.5Suspiciousness and marked evasiveness
- R46.6Undue concern and preoccupation with stressful events
- R46.7Verbosity and circumstantial detail obscuring reason for contact
- R46.81Obsessive-compulsive behavior
- R46.89Other symptoms and signs involving appearance and behavior
Documentation tips
- Make sure the note supports every element of the title, “Very low level of personal hygiene”: each detail in it should be traceable to the history, examination or assessment.
- Code to the highest specificity the documentation supports. If a detail is missing from the note, add it to the note rather than choosing a less specific code by default.
- Check the Tabular List and official guidelines for instructional notes (“code first”, “use additional code”, Excludes1/Excludes2) that apply to R46.
The international WHO ICD-10 also has R46.0, with its inclusion and exclusion notes; titles and detail can differ from ICD-10-CM.
ICD-10-CM is developed by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, and is based on the WHO ICD-10. Codes and titles are reproduced unchanged from the FY2026 code list (effective 1 October 2025). Their use here does not imply endorsement by CDC, HHS or the U.S. Government. Changes effective on or after 1 October 2026 may not be reflected yet; check the current release at cdc.gov or cms.gov before submitting claims.
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