2020 ICD-10-CM Diagnosis Code R09

Other symptoms and signs involving the circulatory and respiratory system

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • R09 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Oth symptoms and signs involving the circ and resp sys
  • The 2020 edition of ICD-10-CM R09 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of R09 - other international versions of ICD-10 R09 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R09. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acute respiratory distress syndrome (
    ICD-10-CM Diagnosis Code J80

    Acute respiratory distress syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Acute respiratory distress syndrome in adult or child
    • Adult hyaline membrane disease
    Type 1 Excludes
    • respiratory distress syndrome in newborn (perinatal) (P22.0)
    J80
    )
  • respiratory arrest of newborn (
    ICD-10-CM Diagnosis Code P28.81

    Respiratory arrest of newborn

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    P28.81
    )
  • respiratory distress syndrome of newborn (
    ICD-10-CM Diagnosis Code P22.0

    Respiratory distress syndrome of newborn

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Cardiorespiratory distress syndrome of newborn
    • Hyaline membrane disease
    • Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn
    • Pulmonary hypoperfusion syndrome
    • Respiratory distress syndrome, type I
    Type 2 Excludes
    • respiratory arrest of newborn (P28.81)
    • respiratory failure of newborn NOS (P28.5)
    P22.0
    )
  • respiratory failure (
    ICD-10-CM Diagnosis Code J96
    • J96 Respiratory failure, not elsewhere classified...
      • J96.0 Acute respiratory failure
        • J96.00 Acute respiratory failure, unspecified whethe...
        • J96.01 …… with hypoxia
        • J96.02 …… with hypercapnia
      • J96.1 Chronic respiratory failure
        • J96.10 Chronic respiratory failure, unspecified whet...
        • J96.11 …… with hypoxia
        • J96.12 …… with hypercapnia
      • J96.2 Acute and chronic respiratory failure
        • J96.20 Acute and chronic respiratory failure, unspec...
        • J96.21 Acute and chronic respiratory failure with hy...
        • J96.22 Acute and chronic respiratory failure with hy...
      • J96.9 Respiratory failure, unspecified
        • J96.90 Respiratory failure, unspecified, unspecified...
        • J96.91 Respiratory failure, unspecified with hypoxia...
        • J96.92 Respiratory failure, unspecified with hyperca...
    J96.-
    )
  • respiratory failure of newborn (
    ICD-10-CM Diagnosis Code P28.5

    Respiratory failure of newborn

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0-)
    P28.5
    )
The following code(s) above R09 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R09:
  • R00-R99
    2020 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • 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)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To R09
R06.9 Unspecified abnormalities of breathing
R07 Pain in throat and chest
R07.0 Pain in throat
R07.1 Chest pain on breathing
R07.2 Precordial pain
R07.8 Other chest pain
R07.81 Pleurodynia
R07.82 Intercostal pain
R07.89 Other chest pain
R07.9 Chest pain, unspecified
R09 Other symptoms and signs involving the circulatory and respiratory system
R09.0 Asphyxia and hypoxemia
R09.01 Asphyxia
R09.02 Hypoxemia
R09.1 Pleurisy
R09.2 Respiratory arrest
R09.3 Abnormal sputum
R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems
R09.81 Nasal congestion
R09.82 Postnasal drip
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.