ICD-10-CM Book 2024 Edition

Chapters  /  Chapter 18  /  R00-R09

Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

R00 Abnormalities of heart beat
Excludes1 abnormalities originating in the perinatal period (P29.1-)
Excludes2 specified arrhythmias (I47-I49)
R00.0 Tachycardia, unspecified
Rapid heart beat
Sinoauricular tachycardia NOS
Sinus [sinusal] tachycardia NOS
Excludes1 inappropriate sinus tachycardia, so stated (I47.11)
neonatal tachycardia (P29.11)
paroxysmal tachycardia (I47.-)
R00.1 Bradycardia, unspecified
Sinoatrial bradycardia
Sinus bradycardia
Slow heart beat
Vagal bradycardia
UseAdditionalCode code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes1 neonatal bradycardia (P29.12)
R00.2 Palpitations
Awareness of heart beat
R00.8 Other abnormalities of heart beat
R00.9 Unspecified abnormalities of heart beat
R01 Cardiac murmurs and other cardiac sounds
Excludes1 cardiac murmurs and sounds originating in the perinatal period (P29.8)
R01.0 Benign and innocent cardiac murmurs
Functional cardiac murmur
R01.1 Cardiac murmur, unspecified
Cardiac bruit NOS
Heart murmur NOS
Systolic murmur NOS
R01.2 Other cardiac sounds
Cardiac dullness, increased or decreased
Precordial friction
R03 Abnormal blood-pressure reading, without diagnosis
R03.0 Elevated blood-pressure reading, without diagnosis of hypertension
Notes This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an isolated incidental finding.
invalidAdmission Yes
R03.1 Nonspecific low blood-pressure reading
Excludes1 hypotension (I95.-)
maternal hypotension syndrome (O26.5-)
neurogenic orthostatic hypotension (G90.3)
R04 Hemorrhage from respiratory passages
R04.0 Epistaxis
Hemorrhage from nose
Nosebleed
R04.1 Hemorrhage from throat
Excludes2 hemoptysis (R04.2)
R04.2 Hemoptysis
Blood-stained sputum
Cough with hemorrhage
R04.8 Hemorrhage from other sites in respiratory passages
R04.81 Acute idiopathic pulmonary hemorrhage in infants
AIPHI
Acute idiopathic hemorrhage in infants over 28 days old
Excludes1 perinatal pulmonary hemorrhage (P26.-)
von Willebrand disease (D68.0-)
age Pediatric: [0-17]
R04.89 Hemorrhage from other sites in respiratory passages
Pulmonary hemorrhage NOS
R04.9 Hemorrhage from respiratory passages, unspecified
R05 Cough
Excludes1 paroxysmal cough due to Bordetella pertussis (A37.0-)
smoker's cough (J41.0)
Excludes2 cough with hemorrhage (R04.2)
R05.1 Acute cough
R05.2 Subacute cough
R05.3 Chronic cough
Persistent cough
Refractory cough
Unexplained cough
R05.4 Cough syncope
CodeFirst syncope and collapse (R55)
R05.8 Other specified cough
R05.9 Cough, unspecified
R06 Abnormalities of breathing
Excludes1 acute respiratory distress syndrome (J80)
respiratory arrest (R09.2)
respiratory arrest of newborn (P28.81)
respiratory distress syndrome of newborn (P22.-)
respiratory failure (J96.-)
respiratory failure of newborn (P28.5)
R06.0 Dyspnea
Excludes1 tachypnea NOS (R06.82)
transient tachypnea of newborn (P22.1)
R06.00 Dyspnea, unspecified
R06.01 Orthopnea
R06.02 Shortness of breath
R06.03 Acute respiratory distress
R06.09 Other forms of dyspnea
R06.1 Stridor
Excludes1 congenital laryngeal stridor (P28.89)
laryngismus (stridulus) (J38.5)
R06.2 Wheezing
Excludes1 Asthma (J45.-)
R06.3 Periodic breathing
Cheyne-Stokes breathing
R06.4 Hyperventilation
Excludes1 psychogenic hyperventilation (F45.8)
R06.5 Mouth breathing
Excludes2 dry mouth NOS (R68.2)
R06.6 Hiccough
Excludes1 psychogenic hiccough (F45.8)
R06.7 Sneezing
R06.8 Other abnormalities of breathing
R06.81 Apnea, not elsewhere classified
Apnea NOS
Excludes1 apnea (of) newborn (P28.4-)
sleep apnea (G47.3-)
sleep apnea of newborn (primary) (P28.3-)
R06.82 Tachypnea, not elsewhere classified
Tachypnea NOS
Excludes1 transitory tachypnea of newborn (P22.1)
R06.83 Snoring
R06.89 Other abnormalities of breathing
Breath-holding (spells)
Sighing
R06.9 Unspecified abnormalities of breathing
R07 Pain in throat and chest
Excludes1 epidemic myalgia (B33.0)
Excludes2 jaw pain R68.84
pain in breast (N64.4)
R07.0 Pain in throat
Excludes1 chronic sore throat (J31.2)
sore throat (acute) NOS (J02.9)
Excludes2 dysphagia (R13.1-)
pain in neck (M54.2)
R07.1 Chest pain on breathing
Painful respiration
R07.2 Precordial pain
R07.8 Other chest pain
R07.81 Pleurodynia
Pleurodynia NOS
Excludes1 epidemic pleurodynia (B33.0)
R07.82 Intercostal pain
R07.89 Other chest pain
Anterior chest-wall pain NOS
R07.9 Chest pain, unspecified
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)
R09.0 Asphyxia and hypoxemia
Excludes1 asphyxia due to carbon monoxide (T58.-)
asphyxia due to foreign body in respiratory tract (T17.-)
birth (intrauterine) asphyxia (P84)
hyperventilation (R06.4)
traumatic asphyxia (T71.-)
Excludes2 hypercapnia (R06.89)
R09.01 Asphyxia
R09.02 Hypoxemia
R09.1 Pleurisy
Excludes1 pleurisy with effusion (J90)
R09.2 Respiratory arrest
Cardiorespiratory failure
Excludes1 cardiac arrest (I46.-)
respiratory arrest of newborn (P28.81)
respiratory distress of newborn (P22.0)
respiratory failure (J96.-)
respiratory failure of newborn (P28.5)
respiratory insufficiency (R06.89)
respiratory insufficiency of newborn (P28.5)
R09.3 Abnormal sputum
Abnormal amount of sputum
Abnormal color of sputum
Abnormal odor of sputum
Excessive sputum
Excludes1 blood-stained sputum (R04.2)
R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems
R09.81 Nasal congestion
R09.82 Postnasal drip
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
Abnormal chest percussion
Bruit (arterial)
Chest tympany
Choking sensation
Friction sounds in chest
Rales
Weak pulse
Excludes2 foreign body in throat (T17.2-)
wheezing (R06.2)
R09.A Foreign body sensation of the circulatory and respiratory system
R09.A0 Foreign body sensation, unspecified
R09.A1 Foreign body sensation, nose
R09.A2 Foreign body sensation, throat
Foreign body sensation globus
R09.A9 Foreign body sensation, other site