MCMCB Pro
R09.89

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

Billable / specific codeICD-10-CM

R09.89 is a billable, specific ICD-10-CM code for other specified symptoms and signs involving the circulatory and respiratory systems. It is valid for submission on a claim.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

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

Risk adjustment

R09.89 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.

Medicare coverage

R09.89 is named in 20 Medicare coverage policies 20 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
  • A56697Billing and Coding: Non-Invasive Vascular Studies
  • A56697Billing and Coding: Non-Invasive Vascular Studies

How R09.89 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R09.89.

  • Bruit(arterial)
  • Choking sensation
  • Rales
  • Runny nose
  • Scratchy throat
  • Abnormal, abnormality, abnormalitieschest sounds(friction) (rales)
  • Abnormal, abnormality, abnormalitiespercussion, chest(tympany)
  • Congestion, congestivechest
  • Congestion, congestivelung
  • Foreign bodyfeeling of, in throat
  • Frictionsounds, chest
  • Labileblood pressure

Related codes at this level

Codes that share R09.8. If R09.89 is not quite right, the correct code is usually one of these.

Questions about R09.89

Is R09.89 a billable ICD-10-CM code?
Yes. R09.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R09.89 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).
ICD-10-CMFY2026-Apr· effective April 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.