Is R09 a billable ICD-10-CM code?

No. R09 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R09 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the circulatory and respiratory systems (R00-R09).

What cannot be coded together with R09?

R09 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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

These codes carry an Excludes1 note pointing at R09. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R09 alone.

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

Risk adjustment

R09 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R09

6 child codes. Green means billable.

Questions about R09

Is R09 a billable ICD-10-CM code?: No. R09 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R09 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the circulatory and respiratory systems (R00-R09).
What cannot be coded together with R09?: R09 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.