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).

What cannot be coded together with R09.89?

R09.89 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R09.89 (R09) and apply to it just the same.

R09.89

R09.89 — Other 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.

foreign body in throat (T17.2-)
wheezing (R06.2)

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

Excludes1 inherited from the categories above R09.89

These are not written on R09.89, but they bind it: a note on a category applies to every code beneath it. Billing R09.89 with anything listed here is a denial.

Written on R09 — Other symptoms and signs involving the circulatory and respiratory system

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)

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, abnormalities›chest sounds(friction) (rales)
Abnormal, abnormality, abnormalities›percussion, chest(tympany)
Congestion, congestive›chest
Congestion, congestive›lung
Foreign body›feeling of, in throat
Friction›sounds, chest
Labile›blood pressure

Code history

R09.89 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

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).
What cannot be coded together with R09.89?: R09.89 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R09.89 (R09) and apply to it just the same.