DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R09 Other symptoms and signs involving the circulatory and respiratory system

  • Header · not billable

R09 is not billable. The category heads 12 billable codes in FY2027, grouped under 6 subdivisions.

Index → code

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R00-R09 Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
  3. R09 Other symptoms and signs involving the circulatory and respiratory system
Billable codes
12
Subdivisions
6
CC / MCC codes
1 / 1
HCC V28 codes
1
New FY2027
0
Index entries
46

Codes in R09

  1. R09.0
    Asphyxia and hypoxemia
    Header
    Excludes1 5, Excludes2 1

    Excludes1

    • asphyxia due to carbon monoxide (T58.-) T58
    • asphyxia due to foreign body in respiratory tract (T17.-) T17
    • birth (intrauterine) asphyxia (P84) P84
    • hyperventilation (R06.4) R06.4
    • traumatic asphyxia (T71.-) T71

    Excludes2

  2. R09.01
    Asphyxia
    BillableCC
  3. R09.02
    Hypoxemia
    Billable
  4. R09.1
    Pleurisy
    Billable
    Excludes1 1

    Excludes1

    • pleurisy with effusion (J90) J90
  5. R09.2
    Respiratory arrest
    BillableMCC†212
    Inclusion terms 1, Excludes1 7

    Inclusion terms

    • Cardiorespiratory failure

    Excludes1

    • cardiac arrest (I46.-) I46
    • respiratory arrest of newborn (P28.81) P28.81
    • respiratory distress of newborn (P22.0) P22.0
    • respiratory failure (J96.-) J96
    • respiratory failure of newborn (P28.5) P28.5
    • respiratory insufficiency (R06.89) R06.89
    • respiratory insufficiency of newborn (P28.5) P28.5
  6. R09.3
    Abnormal sputum
    Billable
    Inclusion terms 4, Excludes1 1

    Inclusion terms

    • Abnormal amount of sputum
    • Abnormal color of sputum
    • Abnormal odor of sputum
    • Excessive sputum

    Excludes1

    • blood-stained sputum (R04.2) R04.2
  7. R09.8
    Other specified symptoms and signs involving the circulatory and respiratory systems
    Header
  8. R09.81
    Nasal congestion
    Billable
  9. R09.82
    Postnasal drip
    Billable
  10. R09.89
    Other specified symptoms and signs involving the circulatory and respiratory systems
    Billable
    Inclusion terms 7, Excludes2 2

    Inclusion terms

    • Abnormal chest percussion
    • Bruit (arterial)
    • Chest tympany
    • Choking sensation
    • Friction sounds in chest
    • Rales
    • Weak pulse

    Excludes2

    • foreign body in throat (T17.2-) T17.2
    • wheezing (R06.2) R06.2
  11. R09.A
    Foreign body sensation of the circulatory and respiratory system
    Header
  12. R09.A0
    Foreign body sensation, unspecified
    Billable
  13. R09.A1
    Foreign body sensation, nose
    Billable
  14. R09.A2
    Foreign body sensation, throat
    Billable
    Inclusion terms 1

    Inclusion terms

    • Foreign body sensation globus
  15. R09.A9
    Foreign body sensation, other site
    Billable

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card). † MCC only if the patient is discharged alive; otherwise neither CC nor MCC (Appendix C Part 2).

Sources of each column.

Instructions

At R09

Excludes1

  • acute respiratory distress syndrome (J80) J80
  • respiratory arrest of newborn (P28.81) P28.81
  • respiratory distress syndrome of newborn (P22.0) P22.0
  • respiratory failure (J96.-) J96
  • respiratory failure of newborn (P28.5) P28.5

Notes that also apply

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Asphyxia, asphyxiation (by) → R09.01
  • Anoxemia → R09.02
  • Anoxia (pathological) → R09.02
  • Hypoxemia → R09.02
  • Hypoxia → R09.02
  • Pleurisy (acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) → R09.1
  • Drip, postnasal (chronic) → R09.82
  • Postnasal drip → R09.82
  • Bruit (arterial) → R09.89
  • Choking sensation → R09.89
  • Rales → R09.89
  • Runny nose → R09.89
  • Scratchy throat → R09.89
  • Asphyxia, asphyxiation (by)pathological → R09.01
  • Pathologic, pathologicalasphyxia → R09.01
  • Deficitoxygen → R09.02
  • Arrest, arrestedrespiratory → R09.2
  • Failure, failedcardiorespiratory → R09.2
  • Abnormal, abnormality, abnormalitiessputum (amount) (color) (odor) → R09.3
  • Excess, excessive, excessivelysputum → R09.3
  • Sputumabnormal (amount) (color) (odor) (purulent) → R09.3
  • Sputumexcessive (cause unknown) → R09.3
  • Congestion, congestivenasal → R09.81
  • Congestion, congestivenose → R09.81
  • Discharge (from)postnasal → R09.82
  • Abnormal, abnormality, abnormalitieschest sounds (friction) (rales) → R09.89
  • Abnormal, abnormality, abnormalitiespercussion, chest (tympany) → R09.89
  • Congestion, congestivechest → R09.89
  • Congestion, congestivelung → R09.89
  • Frictionsounds, chest → R09.89
  • Labileblood pressure → R09.89
  • Nodule(s), nodularretrocardiac → R09.89
  • Pulseweak → R09.89
  • Tympanychest → R09.89
  • Sensationforeign body → R09.A0
  • Feeling (of)foreign body in throat → R09.A2
  • Foreign bodyfeeling of, in throat → R09.A2
  • Excess, excessive, excessivelysecretionsputum → R09.3
  • Symptoms NECinvolvingcardiovascular system NEC → R09.89
  • Symptoms NECinvolvingchest NEC → R09.89

6 more, longer entries are not listed; the search box finds them by word.

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