2026 ICD-10-CM Diagnosis Code R09Other symptoms and signs involving the circulatory and respiratory system
R09 is a non-billable ICD-10-CM category code for other symptoms and signs involving the circulatory and respiratory system, so it cannot be submitted on claims. Use a more specific code from this category instead, such as R09.01, R09.02, R09.1, and R09.2. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established.
Code Identity
Code Classification
Specific Coding for Oth symptoms and signs involving the circ and resp sysOverview
Non-specific codes like R09 require more characters. Use one of these billable codes instead:
R09.0 for Asphyxia and hypoxemia
Use R09.01 for Asphyxia
Use R09.02 for Hypoxemia
Use R09.1 for Pleurisy
Use R09.2 for Respiratory arrest
Use R09.3 for Abnormal sputum
R09.8 for Other specified symptoms and signs involving the circulatory and respiratory systems
Use R09.81 for Nasal congestion
Use R09.82 for Postnasal drip
Use R09.89 for Other specified symptoms and signs involving the circulatory and respiratory systems
R09.A for Foreign body sensation of the circulatory and respiratory system
Use R09.A0 for Foreign body sensation, unspecified
Use R09.A1 for Foreign body sensation, nose
Use R09.A2 for Foreign body sensation, throat
Use R09.A9 for Foreign body sensation, other site
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
- acute respiratory distress syndrome J80
- respiratory arrest of newborn P28.81
- respiratory distress syndrome of newborn P22.0
- respiratory failure J96
- respiratory failure of newborn P28.5
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Patient EducationClinical
Breathing Problems
When you're short of breath, it's hard or uncomfortable for you to take in the oxygen your body needs. You may feel as if you're not getting enough air. Sometimes you can have mild breathing problems because of a stuffy nose or intense exercise. But shortness of breath can also be a sign of a serious disease.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About R09Overview
Is R09 a billable code?
No. This is a category header that groups the codes for other symptoms and signs involving the circulatory and respiratory system, and headers cannot be submitted on claims. Claims for other symptoms and signs involving the circulatory and respiratory system need a more specific code from this category, such as R09.01, R09.02, and R09.1.
Can R09 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the other symptoms and signs involving the circulatory and respiratory system is established, that condition takes the principal position instead.
