2026 ICD-10-CM Diagnosis Code R09.89Other specified symptoms and signs involving the circulatory and respiratory systems
ICD-10-CM Codes›R00–R99›R00-R09›R09
- Billable — Valid for Submission
- Not Chronic
R09.89 is a billable ICD-10-CM diagnosis code for other specified symptoms and signs involving the circulatory and respiratory systems. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 314 through 316. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Circulatory signs and symptoms.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abdominal aortic bruit
- Abdominal bruit
- Abdominal pulsatile mass
- Abnormal ankle pulse
- Abnormal breath sounds
- Abnormal carotid arterial pulse
- Abnormal chest sounds
- 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 ulnar pulse
- Abnormal vascular flow
- 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 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 pulse pressure outside reference range
- 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
- Blood pressure below reference range
- 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 system alteration
- Carotid bruit
- Carotid bruit present
- Carotid pulse absent
- Central venous pressure - finding
- Central venous pressure below reference range
- Central venous pressure outside reference range
- Chest dull to percussion
- Chest percussion note ringing
- 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
- 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 lung compliance
- Decreased vascular pattern
- Delayed pulse
- Delayed venous return in limb vein
- Diaphragmatic dullness to percussion displaced upwards
- Diastolic arterial pressure outside reference range
- 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 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
- Engorgement of vein
- Epiglottis not visible
- Epiglottis visible, vocal cords not visible
- Erythema over frontal sinus
- Exaggerated JVP wave
- Exocardial murmurs
- Exocardial pulsation associated with heart beat
- 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 arterial pulse pressure
- Finding of cardiovascular device
- Finding of chest resonance to percussion
- Finding of color of nasal mucosa
- Finding of diaphragmatic dullness to percussion
- Finding of exocardial sounds
- Finding of hepatic dullness to percussion in chest
- Finding of jugular venous pulse
- Finding of lung field
- Finding of mobility of arytenoid
- Finding of movement of mass with respiration
- Finding of movement of trachea
- Finding of precordial pulsation
- Finding of pulse rate
- Finding of pulse rhythm
- Finding of pulse volume
- Finding of respiratory effort
- Finding of sensation of pharynx
- Finding of size of nose
- Finding of sounds in abdomen
- Finding of systemic arterial pressure
- Finding on percussion of lung fields
- Finding related to ability to cough up sputum
- Finding related to ability to cough voluntarily
- 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
- Full pulse volume
- Gurgling
- Harsh breath sounds
- Hepatic dullness to percussion displaced
- Hepatic dullness to percussion displaced downwards
- Hepatic dullness to percussion displaced upwards
- 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 vascular flow
- Increased vocal resonance
- Ineffective tissue perfusion
- Inspiratory crackles
- Jorissenne sign
- Jugular venous pressure - finding
- Jugular venous pressure above reference range
- Jugular venous pressure above reference range on inspiration
- Jugular venous pressure outside reference range
- Jugular venous pulse characteristics - finding
- 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
- 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 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
- Precordial heave
- Precordial lift
- Precordial sign
- Problem blowing nose
- Prominent abdominal veins
- Prominent arm veins
- Prominent blood vessel
- Prominent chest veins
- Prominent leg veins
- Prominent veins
- Prominent vessels on Little's area
- Pulmonary arterial wedge pressure above reference range
- Pulmonary arterial wedge pressure below reference range
- 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 murmur
- Respiratory squawk
- Respiratory squeak
- 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
- Signet ring sign
- Signs of return of spontaneous circulation
- Slow JVP descent
- Slow rising pulse
- Small nose
- Small nostrils
- Sniffles
- Sounds within chest
- Spiralling course of aorta and pulmonary artery
- Spirometry reversibility finding
- Subjective carotid bruit
- Succussion splash in chest
- Superficial crackling rales
- Swelling of cardiovascular structure
- Swelling of respiratory structure
- Systolic arterial pressure outside reference range
- 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 pressure above reference range
- Venous pressure below reference range
- Venous pressure outside reference range
- Venous return in limb vein - finding
- Venous wedge pressure below reference range
- Vesicular breathing
- Vocal cord does not adduct on respiration
- Vocal fremitus decreased
- 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
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Abnormal chest percussion
- Bruit (arterial)
- Chest tympany
- Choking sensation
- Friction sounds in chest
- Rales
- Weak pulse
Type 2 Excludes
These 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.
A 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 InjuriesGuidance
Alphabetical index entries that point to this code.
- 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, in throat - R09.89
- Friction
- sounds, chest - R09.89
- Labile
- blood pressure - R09.89
- retrocardiac - R09.89
- Rales - R09.89
- Runny nose - R09.89
- Scratchy throat - R09.89
- Symptoms NEC - R68.89
- cardiovascular system NEC - R09.89
- chest NEC - R09.89
- circulatory system NEC - R09.89
- respiratory system NEC - R09.89
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Abnormal, abnormality, abnormalities
- chest sounds (friction) (rales)
- Abnormal, abnormality, abnormalities
- percussion, chest (tympany)
- Bruit(arterial)
- Choking sensation
- Congestion, congestive
- chest
- Congestion, congestive
- lung
- Foreign body
- feeling of, in throat
- Friction
- sounds, chest
- Labile
- blood pressure
- Nodule(s), nodular
- retrocardiac
- Pulse
- weak
- Rales
- Runny nose
- Scratchy throat
- Symptoms NEC
- involving
- cardiovascular system NEC
- Symptoms NEC
- involving
- chest NEC
- Symptoms NEC
- involving
- circulatory system NEC
- Symptoms NEC
- involving
- respiratory system NEC
- Tympany
- chest
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
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?Food Sticks in Child's Throat and Causes Choking While Eating|Food sticks to my child's throat and my child chokes while eating
a question about whether food sticks in individual's child's throat, causing choking while eating.Choking or Coughing - Food or Liquids Going Down the Wrong Pipe at its Worst Question|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 Question|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.Food Sticks in Child's Throat and Causes Choking While Eating Question|Food Sticks in Child's Throat and Causes Choking While Eating|Food sticks to my child's throat and my child chokes while eating
a question about whether food sticks in individual's child's throat, causing choking while eating.
Patient EducationClinical
Heart Diseases
Heart disease is a general term that includes many types of heart problems. It's a type of cardiovascular disease, which means heart and blood vessel disease.
The full article covers:
- What is heart disease?
- What are the types of heart disease?
- What causes heart diseases?
- Who is more likely to develop heart diseases?
- What are the symptoms of heart disease?
- How are heart diseases diagnosed?
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Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R09.89 to ICD-9-CMHistory
Code HistoryHistory
Questions About R09.89Overview
Is R09.89 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified symptoms and signs involving the circulatory and respiratory systems on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does R09.89 group to?
When other specified symptoms and signs involving the circulatory and respiratory systems is the principal diagnosis on an inpatient stay, it groups to MS-DRG 314, 315, 316, with relative weights from 0.6821 to 2.0852 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R09.89 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the other specified symptoms and signs involving the circulatory and respiratory systems is established, that condition takes the principal position instead.
What is the ICD-9 equivalent of R09.89?
Under the General Equivalence Mappings, other specified symptoms and signs involving the circulatory and respiratory systems converts to ICD-9-CM 785.9 (cardiovas sys symp NEC) and 786.7 (abnormal chest sounds). The mapping is approximate, so confirm the match fits the documentation.
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.
