2024 ICD-10-CM Diagnosis Code R09.89
Other specified symptoms and signs involving the circulatory and respiratory systems
- ICD-10-CM Code:
- R09.89
- ICD-10 Code for:
- Oth symptoms and signs involving the circ and resp systems
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
R09.89 is a billable diagnosis code used to specify a medical diagnosis of other specified symptoms and signs involving the circulatory and respiratory systems. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abdominal aortic bruit
- Abdominal bruit
- Abdominal pulsatile mass
- Abnormal ankle pulse
- Abnormal arterial pulse pressure
- Abnormal breath sounds
- Abnormal carotid arterial pulse
- Abnormal central venous pressure
- Abnormal chest sounds
- Abnormal diastolic arterial pressure
- Abnormal femoral pulse
- Abnormal foot pulse
- Abnormal jugular venous pulse
- Abnormal motion of ventricular septum
- Abnormal neurovascular status of distal limb
- Abnormal oxygen supply
- Abnormal peripheral pulse
- Abnormal popliteal pulse
- Abnormal precordial pulsation
- Abnormal pulse
- Abnormal radial pulse
- Abnormal radial pulse
- Abnormal systolic arterial pressure
- Abnormal ulnar pulse
- Abnormal vascular flow
- Abnormal venous pressure
- Aborted systole
- Abrupt pulse
- Absence of precordial signs
- Absence of pulse in left foot
- Absence of pulse in right foot
- Absent breath sounds
- Absent pulse
- Added respiratory sounds
- Adopts particular posture for breathing
- Alteration in tissue perfusion
- Alteration in tissue perfusion
- Alteration of circulating volume
- Amphoric breathing
- Anacrotic pulse
- Anadicrotic pulse
- Anatricrotic pulse
- Anterior tibial pulse biphasic
- Anterior tibial pulse monophasic
- Anterior tibial pulse triphasic
- Aorta palpable
- Aortic bruit
- Aortic bruit present
- Aortic pulsation in abdomen
- Arm elevation obliterates radial pulse
- Arm traction obliterates radial pulse
- Arterial bruit
- Arterial perfusion of hand - finding
- Arterial perfusion of leg - finding
- Arterial wall cord-like
- Arterial wall palpable
- Arterial wall pipe stem
- Arytenoid cartilages and posterior portion of vocal cords visible
- Arytenoid mobile
- Aspiration into lower respiratory tract
- Aspiration into main bronchus
- Atelectatic rales
- Basal crepitations
- Bidirectional cardiovascular shunt
- Blood pressure alteration
- Blowing nose ineffectual
- Blue nasal mucosa
- Blunted hypoxic drive
- Brachial pulse absent
- Brachiofemoral delay
- Bronchial breathing
- Bronchophony
- Bronchovesicular breath sounds
- Bruit
- Bruit over kidney
- Bruit over liver
- Bubbling crackles
- Cannon waves
- Capillary pulse
- Cardiac dullness shifted to left
- Cardiac dullness shifted to right
- Cardiac dullness to percussion absent
- Cardiac output alteration
- Cardiorespiratory murmur
- Cardiovascular shunt finding
- Cardiovascular shunt finding
- Cardiovascular shunt finding
- Cardiovascular shunt finding
- Cardiovascular system alteration
- Carotid bruit
- Carotid bruit present
- Carotid pulse absent
- Central venous pressure - finding
- Central venous pressure - finding
- Chest dull to percussion
- Chest percussion note ringing
- Chest resonance to percussion - finding
- Chest resonance to percussion - finding
- Chest resonance to percussion - finding
- Chest resonance to percussion - finding
- Chest resonance to percussion - finding
- Chest resonance to percussion - finding
- Chest resonance to percussion impaired
- Chest stony dull to percussion
- Chest tympanitic to percussion
- Chokes when swallowing
- Choking
- Choking attacks
- Choking due to airways obstruction
- Choking during respiration
- Choking in newborn
- Choking sensation
- Coarse respiratory crackles
- Coin sign
- Coin sign present
- Cold extremity
- Cold foot
- Concerned about appearance
- Concerned about shape of nose
- Condition of arterial wall - finding
- Condition of arterial wall - finding
- Condition of arterial wall - finding
- Condition of arterial wall - finding
- Congestion of throat
- Contents of anterior nasal cavity - finding
- Coronary artery collaterals
- Cranial bruit
- Crusted nasal mucosa
- Crusting on nose
- Damping of JVP descent
- Decreased blood volume
- Decreased breath sounds
- Decreased central venous pressure
- Decreased lung compliance
- Decreased pulmonary arterial wedge pressure
- Decreased vascular pattern
- Decreased venous pressure
- Decreased venous wedge pressure
- Delayed pulse
- Delayed venous return in limb vein
- Diaphragmatic dullness to percussion - finding
- Diaphragmatic dullness to percussion displaced upwards
- Dicrotic pulse
- Difficult venous access
- Difficulty coughing
- Difficulty coughing voluntarily
- Difficulty in coughing up sputum
- Distal vessel occluded
- Distal vessel patency - finding
- Distal vessel patency - finding
- Distal vessel patency reduced
- Does cough up sputum
- Dorsalis pedis pulse biphasic
- Dorsalis pedis pulse triphasic
- Dorsalis pulse absent
- Double pulse
- Dullness to percussion over Traube's space
- Duroziez's murmur
- Ectopic pulse
- Elevated blood pressure
- Engorgement of vein
- Epiglottis not visible
- Epiglottis visible, vocal cords not visible
- Erythema over frontal sinus
- Exaggerated JVP wave
- Exaggerated JVP wave
- Exocardial murmurs
- Exocardial pulsation associated with heart beat
- Exocardial sounds - finding
- Exocardial sounds - finding
- Expanded frontal sinus
- Expanded maxillary sinus
- Expansile aortic pulsation in abdomen
- Expiratory crackles
- Feeling of lump in throat
- Femoral bruit
- Femoral bruit present
- Femoral pulse absent
- Finding of appearance of nasal mucosa
- Finding of appearance of nasal mucosa
- Finding of appearance of nasal mucosa
- Finding of appearance of nasal mucosa
- Finding of arterial pulse pressure
- Finding of arterial pulse pressure
- Finding of arterial pulse pressure
- Finding of cardiovascular device
- Finding of color of nasal mucosa
- Finding of color of nasal mucosa
- Finding of color of nasal mucosa
- Finding of jugular venous pulse
- Finding of jugular venous pulse
- Finding of jugular venous pulse
- Finding of jugular venous pulse
- Finding of jugular venous pulse
- Finding of jugular venous pulse
- Finding of jugular venous pulse
- Finding of lung field
- Finding of lung field
- Finding of lung field
- Finding of lung field
- Finding of lung field
- Finding of mobility of arytenoid
- Finding of movement of mass with respiration
- Finding of movement of mass with respiration
- Finding of precordial pulsation
- Finding of pulse rate
- Finding of pulse rate
- Finding of pulse rhythm
- Finding of pulse volume
- Finding of pulse volume
- Finding of sensation of pharynx
- Finding of size of nose
- Finding on percussion of lung fields
- Finding on percussion of lung fields
- Finding on percussion of lung fields
- Finding on percussion of lung fields
- Finding on percussion of lung fields
- Finding related to ability to cough up sputum
- Finding related to ability to cough up sputum
- Finding related to ability to cough up sputum
- Finding related to ability to cough voluntarily
- Finding related to ability to cough voluntarily
- Finding related to cardiac dullness to percussion
- Finding related to cardiac dullness to percussion
- Finding related to cardiac dullness to percussion
- Finding related to cardiac dullness to percussion
- Finding related to neurovascular status of limb
- Fine respiratory crackles
- Flow in veins - finding
- Foot pulse absent
- Foreign body sensation
- Foul smelling discharge from nose
- Fremitus
- Fremitus
- Fremitus
- Fremitus
- Fremitus
- Full pulse volume
- Gurgling
- Harsh breath sounds
- Hepatic dullness to percussion displaced
- Hepatic dullness to percussion displaced downwards
- Hepatic dullness to percussion displaced upwards
- Hepatic dullness to percussion in chest - finding
- Hepatic dullness to percussion in chest - finding
- Hepatic dullness to percussion in chest - finding
- Hepatojugular reflux
- High-pitched rhonchi
- Hyperdynamic circulation
- Hyperemic nasal mucosa
- Hyperresonance
- Impaired peripheral neurovascular function
- Improvement of left ventricular wall motion compared to prior study
- Increased area of cardiac dullness
- Increased blood volume
- Increased breath sounds
- Increased oxygen supply
- Increased plasma volume
- Increased pulmonary arterial wedge pressure
- Increased vascular flow
- Increased vocal resonance
- Ineffective tissue perfusion
- Ineffective tissue perfusion
- Inspiratory crackles
- Jorissenne sign
- Jugular venous pressure - finding
- Jugular venous pulse characteristics - finding
- Jugular venous pulse characteristics - finding
- Jugular venous pulse characteristics - finding
- Jugular venous pulse characteristics - finding
- Jugular venous pulse characteristics - finding
- Jugular venous pulse characteristics - finding
- Jugular venous pulse characteristics - finding
- JVP raised on inspiration
- Labile blood pressure
- Labile pulse
- Lack of respiratory drive
- Large airway sounds
- Large nostrils
- Large v-wave
- Laryngeal crepitus absent
- Left to right cardiovascular shunt
- Loss of distal pulse
- Low-pitched rhonchi
- Mass does not move with respiration
- Mass moves with respiration
- Mediastinal crunch
- Medium rales
- Moist crackles
- Moistness of nasal mucosa - finding
- Movement of trachea - finding
- Musset's sign
- Myocardial perfusion - finding
- Myocardial perfusion defect
- Named respiratory sign of chest
- Named sign of heart
- Narrow nose
- Narrow nostril
- Narrow pulse pressure
- Nasal cavity over-patent
- Nasal discharge present
- Nasal flaring
- Nasal mucosa moist
- Neurological deficit
- Neurovascular deficit
- No view of vocal cords
- Normal breath sounds
- Orbital bruit
- Organ or tissue vascular perfusion decreased
- Organ or tissue vascular perfusion increased
- Pack in nasal cavity
- Pain of cardiovascular structure
- Pain of respiratory structure
- Pale nasal mucosa
- Pallor of lung
- Paradoxical cardiac wall motion
- Paradoxical diaphragmatic movement
- Paradoxical inspiratory filling of neck veins
- Paradoxical motion of ventricular septum
- Partially reversible myocardial perfusion defect
- Percussion of chest abnormal
- Pericardial friction rub
- Peripheral pulmonary artery pruning
- Peripheral pulmonary artery sparseness
- Peripheral pulse absent
- Peripheral pulses impalpable
- Peripheral vascular alteration
- Peripherally inserted central venous access patent
- Pistol-shot sound
- Plateau pulse
- Pleural friction fremitus
- Pleural friction rub
- Pleuropericardial friction rub
- Polycrotic pulse
- Poor arterial perfusion of leg
- Poor ulnar perfusion of hand
- Popliteal pulse absent
- Position of vocal cords on respiration - finding
- Positive reversibility test to a combination of salbutamol and ipratropium bromide
- Positive reversibility test to corticosteroids
- Positive reversibility test to ipratropium bromide
- Positive reversibility test to salbutamol
- Posterior tibial pulse absent
- Posterior tibial pulse biphasic
- Posterior tibial pulse monophasic
- Posterior tibial pulse triphasic
- Post-tussive crackles
- Posture for breathing - finding
- Precipitate JVP descent
- Precipitate JVP descent
- Precordial heave
- Precordial lift
- Precordial sign
- Problem blowing nose
- Prominent abdominal veins
- Prominent arm veins
- Prominent blood vessel
- Prominent blood vessel
- Prominent blood vessel
- Prominent blood vessel
- Prominent blood vessel
- Prominent chest veins
- Prominent leg veins
- Prominent veins
- Prominent vessels on Little's area
- Pulmonary artery appearance - finding
- Pulmonary artery appearance - finding
- Pulse deficit
- Pulse in left anterior tibial artery absent
- Pulse in left dorsalis pedis artery absent
- Pulse in left femoral artery absent
- Pulse in left popliteal artery absent
- Pulse in left posterior tibial artery absent
- Pulse in right anterior tibial artery absent
- Pulse in right dorsalis pedis artery absent
- Pulse in right femoral artery absent
- Pulse in right popliteal artery absent
- Pulse in right posterior tibial artery absent
- Pulse missed beats
- Pulse rate altered
- Radial pulse absent
- Radiofemoral delay
- Rapid upstroke pulse
- Renal bruit
- Renal bruit present
- Respiratory clicking sound
- Respiratory crackles
- Respiratory finding on palpation of chest wall
- Respiratory finding on palpation of chest wall
- Respiratory finding on palpation of chest wall
- Respiratory finding on palpation of chest wall
- Respiratory finding on palpation of chest wall
- Respiratory murmur
- Respiratory squawk
- Respiratory squeak
- Respiratory tract congestion
- Respiratory tract congestion
- Respiratory tract congestion and cough
- Rhonchal fremitus
- Right atrial to left ventricular shunt
- Right to left cardiovascular shunt
- Sensation of a lesion
- Sensation of foreign body in throat
- Sheathing of arterioles
- Signs of return of spontaneous circulation
- Slow JVP descent
- Slow rising pulse
- Small nose
- Small nostrils
- Sniffles
- Sounds in abdomen - finding
- Sounds in abdomen - finding
- Sounds in abdomen - finding
- Sounds in abdomen - finding
- Sounds within the chest
- Spiralling course of aorta and pulmonary artery
- Spirometry reversibility finding
- Spirometry reversibility finding
- Spirometry reversibility finding
- Spirometry reversibility finding
- Subjective carotid bruit
- Succussion splash in chest
- Superficial crackling rales
- Swelling of cardiovascular structure
- Swelling of respiratory structure
- Temporal pulse absent
- Tenderness of cardiovascular structure
- Thin arterial wall
- Thready pulse
- Thyroid flow murmur
- Tracheal tug
- Transient clearing of nasal airway
- Translucency of maxillary sinus
- Transmitted aortic pulsation in abdomen
- Transmitted sounds
- Tussive fremitus
- Ulnar perfusion of hand - finding
- Ulnar pulse absent
- Unable to cough
- Unable to cough up sputum
- Unable to cough voluntarily
- Unable to perform spirometry
- Unequal blood pressure in arms
- Unequal femoral pulses
- Unequal pulse
- Variation in patency of nasal airway
- Vascular coiling
- Venous access patent
- Venous return in limb vein - finding
- Vesicular breathing
- Vocal cord does not adduct on respiration
- Vocal fremitus decreased
- Vocal fremitus finding
- Vocal fremitus finding
- Vocal fremitus increased
- Vocal resonance finding
- Weak arterial pulse
- Wheeze - rhonchi
- Wide nose
- Widened pulse pressure
- Wound/tissue perfusion consistent with or improved from preoperative baseline
Clinical Classification
Clinical Category is Circulatory signs and symptoms
- CCSR Category Code: SYM012
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Nasal Flaring
enlargement of the nostrils during breathing; although there are many possible causes, it can be a sign of respiratory distress in young infants.Cannot Swallow Because it Causes Choking|I cannot swallow because it "goes down the wrong way" and chokes me
a response indicating that an individual cannot swallow because it chokes them.Choking
interference with respiration by compression or obstruction of the larynx or trachea.Choking or Coughing - Food or Liquids Going Down the Wrong Pipe at its Worst|Your choking/coughing (food/liquids going down the wrong pipe) at its WORST
a question about an individual's choking or coughing - such as food or liquids going down the wrong pipe at its worst.Extent Have Choking when Swallowing|Extent of Choking when Swallowing|Have you choked when swallowing
a question about the extent to which an individual has or had choking when swallowing.PHQ Screener Version - Anxiety Attack Choking|PHQ03-Anxiety Attack Choking|PHQ03-Anxiety Attack Choking|PHQ0304E
patient health questionnaire screener version (phq screener version) think about your last bad anxiety attack. did you feel as if you were choking?
Replaced Code
This code was replaced in the 2024 ICD-10-CM code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This code was replaced for the FY 2024 (October 1, 2023 - September 30, 2024).
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Abnormal chest percussion
- Bruit (arterial)
- Chest tympany
- Choking sensation
- Friction sounds in chest
- Rales
- Weak pulse
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Abnormal, abnormality, abnormalities - See Also: Anomaly;
- - chest sounds (friction) (rales) - R09.89
- - percussion, chest (tympany) - R09.89
- - Bruit (arterial) - R09.89
- - Choking sensation - R09.89
- - Feeling (of)
- - foreign body in throat - R09.89
- - Foreign body
- - feeling of, in throat - R09.89
- - Friction
- - sounds, chest - R09.89
- - Labile
- - blood pressure - R09.89
- - Nodule (s), nodular
- - retrocardiac - R09.89
- - Rales - R09.89
- - Runny nose - R09.89
- - Scratchy throat - R09.89
- - Symptoms NEC - R68.89
- - involving
- - cardiovascular system NEC - R09.89
- - chest NEC - R09.89
- - circulatory system NEC - R09.89
- - respiratory system NEC - R09.89
- - involving
Convert R09.89 to ICD-9-CM
- ICD-9-CM Code: 785.9 - Cardiovas sys symp NEC
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. - ICD-9-CM Code: 786.7 - Abnormal chest sounds
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Patient Education
Heart Diseases
What is heart disease?
Heart disease is a general term that includes many types of heart problems. It's also called cardiovascular disease, which means heart and blood vessel disease.
Heart disease is the leading cause of death in the United States, but there are ways to prevent and manage many types of heart disease.
What are the types of heart disease?
There are many different types of heart disease. Some you may be born with, called congenital heart disease. Other types develop during your lifetime.
Coronary artery disease (also called coronary heart disease) is the most common type of heart disease. It happens slowly over time when a sticky substance called plaque builds up in the arteries that supply your heart muscle with blood. The plaque narrows or blocks blood flow to the heart muscle and can lead to other heart problems:
- Angina - chest pain from lack of blood flow
- Heart attacks - when part of the heart muscle dies from loss of blood flow
- Heart failure - when your heart can't pump enough blood to meet your body's needs
- Arrhythmia - a problem with the rate or rhythm of your heartbeat
Other types of heart diseases may affect your heart valves or heart muscle (cardiomyopathy).
What causes heart diseases?
The causes of heart disease depend on the type of disease. Some possible causes include lifestyle, genetics, infections, medicines, and other diseases.
Who is more likely to develop heart diseases?
There are many different factors that can make you more likely to develop heart disease. Some of these factors you can change, but others you cannot.
- Age. Your risk of heart disease goes up as you get older.
- Sex. Some factors may affect heart disease risk differently in women than in men.
- Family history and genetics. A family history of early heart disease raises your risk of heart disease. And research has shown that some genes are linked to a higher risk of certain heart diseases.
- Race/ethnicity. Certain groups have higher risks than others.
- Lifestyle habits. Over time, unhealthy lifestyle habits can raise your risk heart disease:
- Eating a diet high in saturated fats, refined carbohydrates, and salt.
- Not getting enough physical activity.
- Drinking too much alcohol.
- Smoking and exposure to secondhand smoke.
- Too much stress.
- Having other medical conditions can raise your risk of heart diseases. These conditions include:
- High blood pressure.
- High cholesterol levels.
- Diabetes.
- Obesity.
- Autoimmune and inflammatory diseases.
- Chronic kidney disease.
- Metabolic syndrome.
What are the symptoms of heart disease?
Your symptoms will depend on the type of heart disease you have. You may not have symptoms at first. In some cases, you may not know you have heart disease until you have a complication such as a heart attack.
How are heart diseases diagnosed?
To find out if you have heart disease, your health care provider will:
- Ask about your medical history, including your symptoms
- Ask about your family health history, including relatives who have had heart disease
- Do a physical exam
- Likely run heart tests and blood tests
In some cases, your provider may refer you to a cardiologist (a doctor who specializes in heart diseases) for tests, diagnosis, and care.
What are the treatments for heart disease?
Treatment plans for heart disease depend on the type of heart disease you have, how serious your symptoms are, and what other health conditions you have. Possible treatments may include:
- Heart-healthy lifestyle changes
- Medicines
- Procedures or surgeries
- Cardiac rehabilitation
Can heart diseases be prevented?
You may be able to lower your risk of certain heart diseases by making heart-healthy lifestyle changes and managing any other medical conditions you have.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Lung Diseases
When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease. If all types of lung disease are lumped together, it is the number three killer in the United States.
The term lung disease refers to many disorders affecting the lungs, such as asthma, COPD, infections like influenza, pneumonia and tuberculosis, lung cancer, and many other breathing problems. Some lung diseases can lead to respiratory failure.
Dept. of Health and Human Services Office on Women's Health
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.