Skip to content
Dx

ICD-10-CM 2027 diagnosis code

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

✓ Billable / specific

R09.89 is a valid, billable ICD-10-CM code for other specified symptoms and signs involving the circulatory and respiratory systems. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Oth symptoms and signs involving the circ and resp systems

Looking up by condition? See ICD-10 code for Bruit, ICD-10 code for Rales, ICD-10 code for Runny nose, ICD-10 code for Scratchy throat.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About R09.89

R09.89 is the ICD-10-CM diagnosis code for other specified symptoms and signs involving the circulatory and respiratory systems. It belongs to category R09 (other symptoms and signs involving the circulatory and respiratory system), block R00-R09 (symptoms and signs involving the circulatory and respiratory systems) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within R09.8, choose R09.89 (Other specified symptoms and signs involving the circulatory and respiratory systems) only when documentation doesn't support a more specific option: nasal congestion (R09.81) and Postnasal drip (R09.82).

The conditions in its Excludes2 note aren't part of R09.89, but may be coded alongside it if the patient has both: foreign body in throat (T17.2-) and wheezing (R06.2).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 314 (Other Circulatory System Diagnoses with MCC, relative weight 2.0873), DRG 315 (Other Circulatory System Diagnoses with CC, relative weight 0.9508) and DRG 316 (Other Circulatory System Diagnoses without CC/MCC, relative weight 0.6677), in MDC 05 (Diseases and Disorders of the Circulatory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 785.9 (other symptoms involving cardiovascular system) and 786.7 (abnormal chest sounds).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Abnormal chest percussion
  • Bruit (arterial)
  • Chest tympany
  • Choking sensation
  • Friction sounds in chest
  • Rales
  • Weak pulse
Excludes2Not included here — may be reported together if both conditions exist

Notes that apply from higher levels

Instructions written at a parent level also apply to R09.89.

› From R09 Other symptoms and signs involving the circulatory and respiratory system
Excludes1
  • 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)

Broader instructions also apply from Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.

Alphabetic index entries

18 entries

Terms in the official ICD-10-CM index that lead to R09.89.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 785.9Other symptoms involving cardiovascular systemapproximate
  • 786.7Abnormal chest soundsapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about R09.89

Is R09.89 billable?

Yes. R09.89 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R09.89 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R09.89 as a principal diagnosis.

Is R09.89 a CC or MCC?

No. R09.89 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does R09.89 group to?

R09.89 is used in the MS-DRG v44.0 logic for MS-DRG 314 (Other Circulatory System Diagnoses with MCC), MS-DRG 315 (Other Circulatory System Diagnoses with CC) and MS-DRG 316 (Other Circulatory System Diagnoses without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for R09.89?

The CMS General Equivalence Mappings map R09.89 to ICD-9-CM 785.9 and 786.7.