R00-R09 — Symptoms and signs involving the circulatory and respiratory systems
ICD-10-CM codes R00-R09 cover symptoms and signs involving the circulatory and respiratory systems, within symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified. The block holds 73 codes across 8 categories, of which 58 are billable and 15 are header codes that cannot be submitted on a claim.
Risk adjustment in R00-R09
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 212 Respiratory Arrest
What else to watch in R00-R09
- 56 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in R00-R09
- R00Abnormalities of heart beat
- R01Cardiac murmurs and other cardiac sounds
- R03Abnormal blood-pressure reading, without diagnosis
- R04Hemorrhage from respiratory passages
- R05Cough
- R06Abnormalities of breathing
- R07Pain in throat and chest
- R09Other symptoms and signs involving the circulatory and respiratory system