MCMedicalCodingSoftware
R09

R09: Other symptoms and signs involving the circulatory and respiratory system

Non-billable headerICD-10-CM

R09 is a non-billable header ICD-10-CM code for other symptoms and signs involving the circulatory and respiratory system. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • 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)

Other codes that can never be billed with R09

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • J90Pleural effusion, not elsewhere classified
  • J94Other pleural conditions
  • J96Respiratory failure, not elsewhere classified
  • R06Abnormalities of breathing
  • T71Asphyxiation

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead R09

6 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.