ICD-10 · PDGM grouping
R00-R09 — Symptoms and signs involving the circulatory and respiratory systems
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
58
No clinical group
58
A period cannot be grouped from these.
Barred as primary
1
CMS rejects these in the primary position.
Where these codes group
None of the 58 codes in R00-R09 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in R00-R09
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- R00Abnormalities of heart beat5 codes
- R01Cardiac murmurs and other cardiac sounds3 codes
- R03Abnormal blood-pressure reading, without diagnosis2 codes
- R04Hemorrhage from respiratory passages6 codes
- R05Cough6 codes
- R06Abnormalities of breathing17 codes
- R07Pain in throat and chest7 codes
- R09Other symptoms and signs involving the circulatory and respiratory system12 codes
Every code in R00-R09
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| R000 | Tachycardia, unspecified | None | Cannot lead a claim |
| R001 | Bradycardia, unspecified | None | Cannot lead a claim |
| R002 | Palpitations | None | Cannot lead a claim |
| R008 | Other abnormalities of heart beat | None | Cannot lead a claim |
| R009 | Unspecified abnormalities of heart beat | None | Cannot lead a claim |
| R010 | Benign and innocent cardiac murmurs | None | Cannot lead a claim |
| R011 | Cardiac murmur, unspecified | None | Cannot lead a claim |
| R012 | Other cardiac sounds | None | Cannot lead a claim |
| R030 | Elevated blood-pressure reading, w/o diagnosis of htn | None | Cannot lead a claim |
| R031 | Nonspecific low blood-pressure reading | None | Cannot lead a claim |
| R040 | Epistaxis | None | Cannot lead a claim |
| R041 | Hemorrhage from throat | None | Cannot lead a claim |
| R042 | Hemoptysis | None | Cannot lead a claim |
| R0481 | Acute idiopathic pulmonary hemorrhage in infants | None | Cannot lead a claim |
| R0489 | Hemorrhage from other sites in respiratory passages | None | Cannot lead a claim |
| R049 | Hemorrhage from respiratory passages, unspecified | None | Cannot lead a claim |
| R051 | Acute cough | None | Cannot lead a claim |
| R052 | Subacute cough | None | Cannot lead a claim |
| R053 | Chronic cough | None | Cannot lead a claim |
| R054 | Cough syncope | None | Cannot lead a claim |
| R058 | Other specified cough | None | Cannot lead a claim |
| R059 | Cough, unspecified | None | Cannot lead a claim |
| R0600 | Dyspnea, unspecified | None | Cannot lead a claim |
| R0601 | Orthopnea | None | Cannot lead a claim |
| R0602 | Shortness of breath | None | Cannot lead a claim |
| R0603 | Acute respiratory distress | None | Cannot lead a claim |
| R0609 | Other forms of dyspnea | None | Cannot lead a claim |
| R061 | Stridor | None | Cannot lead a claim |
| R062 | Wheezing | None | Cannot lead a claim |
| R063 | Periodic breathing | None | Cannot lead a claim |
| R064 | Hyperventilation | None | Cannot lead a claim |
| R065 | Mouth breathing | None | Cannot lead a claim |
| R066 | Hiccough | None | Cannot lead a claim |
| R067 | Sneezing | None | Cannot lead a claim |
| R0681 | Apnea, not elsewhere classified | None | Cannot lead a claim |
| R0682 | Tachypnea, not elsewhere classified | None | Cannot lead a claim |
| R0683 | Snoring | None | Cannot lead a claim |
| R0689 | Other abnormalities of breathing | None | Cannot lead a claim |
| R069 | Unspecified abnormalities of breathing | None | Cannot lead a claim |
| R070 | Pain in throat | None | Cannot lead a claim |
| R071 | Chest pain on breathing | None | Cannot lead a claim |
| R072 | Precordial pain | None | Cannot lead a claim |
| R0781 | Pleurodynia | None | Cannot lead a claim |
| R0782 | Intercostal pain | None | Cannot lead a claim |
| R0789 | Other chest pain | None | Cannot lead a claim |
| R079 | Chest pain, unspecified | None | Cannot lead a claim |
| R0901 | Asphyxia | None | Cannot lead a claim |
| R0902 | Hypoxemia | None | Cannot lead a claim |
| R091 | Pleurisy | None | Cannot lead a claim |
| R092 | Respiratory arrest | None | Cannot lead a claim |
| R093 | Abnormal sputum | None | Cannot lead a claim |
| R0981 | Nasal congestion | None | Cannot lead a claim |
| R0982 | Postnasal drip | None | Cannot lead a claim |
| R0989 | Oth symptoms and signs involving the circ and resp systems | None | Cannot lead a claim |
| R09A0 | Foreign body sensation, unspecified | None | Cannot lead a claim |
| R09A1 | Foreign body sensation, nose | None | Cannot lead a claim |
| R09A2 | Foreign body sensation, throat | None | Cannot lead a claim |
| R09A9 | Foreign body sensation, other site | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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