ICD-10 code for nose congestion

The ICD-10-CM code for nose congestion is R09.81 (Nasal congestion).

Within R09.8 (other specified symptoms and signs involving the circulatory and respiratory systems), R09.81 is specifically for nasal congestion. Related codes cover Postnasal drip (R09.82) and other specified symptoms and signs involving the circulatory and respiratory systems (R09.89).

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 154 (Other Ear, Nose, Mouth and Throat Diagnoses with MCC, relative weight 1.5921), DRG 155 (Other Ear, Nose, Mouth and Throat Diagnoses with CC, relative weight 0.9322), DRG 156 (Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC, relative weight 0.6659) and DRG 795 (Normal Newborn, relative weight 0.2022), in MDC 03 (Diseases and Disorders of the Ear, Nose, Mouth and Throat) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.