ICDcodes.org
FY2027

R09.89Other specified symptoms and signs involving the circulatory and respiratory systems

BillableUnspecified

Is R09.89 billable?

Yes, but R09.89 is an unspecified code. R09.89 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, R09.89 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting R09.89 — the more specific alternatives are listed below.

R09.89 at a glance

CodeR09.89
DescriptionOther specified symptoms and signs involving the circulatory and respiratory systems
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does R09.89 group to?

R09.89 sits in MDC 05 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 314Other Circulatory System Diagnoses with MCCmedical
  • 315Other Circulatory System Diagnoses with CCmedical
  • 316Other Circulatory System Diagnoses without CC/MCCmedical

How is R09.89 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to R09.89. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Bruit (arterial)
  • Choking sensation
  • Rales
  • Runny nose
  • Scratchy throat
  • Abnormal, abnormality, abnormalitieschest sounds
  • Abnormal, abnormality, abnormalitiespercussion, chest
  • Congestion, congestivechest
  • Congestion, congestivelung
  • Frictionsounds, chest
  • Labileblood pressure
  • Nodule, nodularretrocardiac (s)

Excludes2 — not included here

The conditions below are not part of R09.89, but a patient may have both at the same time. When documentation supports it, R09.89 and the excluded code may both be reported.

Inclusion terms

Alternative wording in documentation that is classified to R09.89.

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

Excludes1 — never code together — inherited from R09

The conditions below can never be reported together with R09.89 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • 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)

Excludes2 — not included here — inherited from Chapter 18

The conditions below are not part of R09.89, but a patient may have both at the same time. When documentation supports it, R09.89 and the excluded code may both be reported.

  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

How long has R09.89 existed?

R09.89 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to R09.89?

What other codes are in the R09.8 family? (2)