Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

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

R00 Abnormalities of heart beat

Excl.:
abnormalities originating in the perinatal period ( P29.1)
specified arrhythmias ( I47-I49)
R00.0 Tachycardia, unspecified
Incl.:
Rapid heart beat
Tachycardia:
  • sinoauricular NOS
  • sinus [sinusal] NOS
R00.1 Bradycardia, unspecified
Incl.:
Bradycardia:
  • sinoatrial
  • sinus
  • vagal
Slow heart beat
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
R00.2 Palpitations
Incl.:
Awareness of heart beat
R00.8 Other and unspecified abnormalities of heart beat

R01 Cardiac murmurs and other cardiac sounds

Excl.:
those originating in the perinatal period ( P29.8)
R01.0 Benign and innocent cardiac murmurs
Incl.:
Functional cardiac murmur
R01.1 Cardiac murmur, unspecified
Incl.:
Cardiac bruit NOS
Systolic murmur NOS
R01.2 Other cardiac sounds
Incl.:
Cardiac dullness, increased or decreased
Precordial friction

R02 Gangrene, not elsewhere classified

Excl.:
gangrene in:
gangrene of certain specified sites - see Alphabetical Index
gas gangrene ( A48.0)
pyoderma gangrenosum ( L88)

R03 Abnormal blood-pressure reading, without diagnosis

R03.0 Elevated blood-pressure reading, without diagnosis of hypertension
Note:

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.

R03.1 Nonspecific low blood-pressure reading
Excl.:
hypotension ( I95.-)
maternal hypotension syndrome ( O26.5)
neurogenic orthostatic hypotension ( G23.8)

R04 Haemorrhage from respiratory passages

R04.0 Epistaxis
Incl.:
Haemorrhage from nose
Nosebleed
R04.1 Haemorrhage from throat
Excl.:
haemoptysis ( R04.2)
R04.2 Haemoptysis
Incl.:
Blood-stained sputum
Cough with haemorrhage
R04.8 Haemorrhage from other sites in respiratory passages
Incl.:
Pulmonary haemorrhage NOS
Excl.:
perinatal pulmonary haemorrhage ( P26.-)
R04.9 Haemorrhage from respiratory passages, unspecified

R05 Cough

Excl.:
cough with haemorrhage ( R04.2)
psychogenic cough ( F45.3)

R06 Abnormalities of breathing

Excl.:
respiratory:
  • arrest (R09.2)
  • distress:
    • —  syndrome of adult (J80)
    • —  in newborn (P22.-)
  • failure (J96.-)
  • failure
    • —  of newborn (P28.5)
R06.0 Dyspnoea
Incl.:
Orthopnoea
Shortness of breath
Excl.:
transient tachypnoea of newborn ( P22.1)
R06.1 Stridor
Excl.:
congenital laryngeal stridor ( P28.8)
laryngismus (stridulus) ( J38.5)
R06.2 Wheezing
R06.3 Periodic breathing
Incl.:
Cheyne-Stokes breathing
R06.4 Hyperventilation
Excl.:
psychogenic hyperventilation ( F45.3)
R06.5 Mouth breathing
Incl.:
Snoring
Excl.:
dry mouth NOS ( R68.2)
R06.6 Hiccough
Excl.:
psychogenic hiccough ( F45.3)
R06.7 Sneezing
R06.8 Other and unspecified abnormalities of breathing
Incl.:
Apnoea NOS
Breath-holding (spells)
Choking sensation
Sighing
Excl.:
apnoea (of):

R07 Pain in throat and chest

Excl.:
dysphagia ( R13)
epidemic myalgia ( B33.0)
pain in:
sore throat (acute) NOS ( J02.9)
R07.0 Pain in throat
R07.1 Chest pain on breathing
Incl.:
Painful respiration
R07.2 Precordial pain
R07.3 Other chest pain
Incl.:
Anterior chest-wall pain NOS
R07.4 Chest pain, unspecified

R09 Other symptoms and signs involving the circulatory and respiratory systems

Excl.:
respiratory:
  • distress (syndrome)(of):
    • —  adult (J80)
    • —  newborn (P22.-)
  • failure (J96.-)
  • failure
R09.0 Asphyxia
Excl.:
asphyxia (due to):
  • birth (P21.-)
  • carbon monoxide (T58)
  • foreign body in respiratory tract (T17.-)
  • intrauterine (P20.-)
  • traumatic (T71)
R09.1 Pleurisy
Excl.:
pleurisy with effusion ( J90)
R09.2 Respiratory arrest
Incl.:
Cardiorespiratory failure
R09.3 Abnormal sputum
Incl.:
  • Abnormal:
    • amount
    • colour
    • odour
  • Excessive
  • (of) sputum
Excl.:
blood-stained sputum ( R04.2)
R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems
Incl.:
Bruit (arterial)
Chest:
  • abnormal percussion
  • friction sounds
  • tympany
Rales
Weak pulse