PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R05.9

Billable / Specific

Cough, unspecified

R05
Block
0
Synonyms
60
LCDs
7
Payer Policies
12
Linked CPTs

About ICD-10-CM R05.9

ICD-10-CM code R05.9 represents Cough, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R05). The 2026 edition of ICD-10-CM R05.9 became effective on October 1, 2025.

Medicare LCD Coverage for R05.9

Local Coverage Determinations (LCDs) from CMS MACs that list R05.9 as a covered diagnosis.

60 LCDs

Showing top 10 of 60 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R05.9.

7 policies

4 Medicare

Billing and Coding: Swallowing Studies for Dysphagia
Policy ID: ART-56621
Billing and Coding: Allergy Testing
Policy ID: ART-57181
Billing and Coding: Respiratory Care
Policy ID: ART-57224
Billing and Coding: Duplex Scanning
Policy ID: ART-57636

3 Aetna

Influenza Rapid Diagnostic Tests
Policy ID: CPB-0476
Lung Imaging: Selected Techniques
Policy ID: CPB-0581
Esophageal and Airway pH Monitoring
Policy ID: CPB-0667

CPT Codes Commonly Billed with R05.9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

12 linkages
  • 99202 New patient office visit — fever, headache, abdominal pain, cough, dyspnea, fatigue, dizziness, limb pain, nausea, routine exam, URI, UTI, pharyngitis, otitis, chest pain, weight loss Primary Care
  • 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
  • 99212 Established patient — URI, UTI, pharyngitis, otitis, dermatitis, rash, viral infection, cellulitis, conjunctivitis, sinusitis, bronchitis, ankle sprain Primary Care
  • 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
  • 91035 Esophageal pH monitoring — GERD evaluation, heartburn, retrosternal chest pain, dysphagia, asthma with suspected GERD, chronic cough, Barrett Gastroenterology
  • 71046 Chest X-ray 2 views — cough, dyspnea, wheezing, chest pain, pneumonia, COPD exacerbation, asthma exacerbation, respiratory failure, lung nodule, pneumothorax, heart failure, hx pneumonia, TB, hypoxemia Radiology
  • 71250 CT chest without contrast — pulmonary nodule, lung mass, lung cancer, pulmonary mets, chronic cough, dyspnea, pneumothorax, PE, lung disease, hx lung cancer, bronchial neoplasm Radiology
  • 94010 Spirometry — asthma all severity, COPD, COPD with exacerbation, dyspnea, wheezing, chronic cough, pulmonary disease, pulmonary fibrosis Pulmonology
  • 94060 Spirometry pre and post bronchodilator — asthma diagnosis/monitoring, dyspnea, wheezing, chronic cough Pulmonology
  • 31622 Diagnostic bronchoscopy — pulmonary nodule, lung cancer, hemoptysis, lung disease, chronic cough, pneumonia, lung mets, abnormal sputum cytology Pulmonology

ICD-10 R05.9, Billing FAQ

Is ICD-10 code R05.9 billable? +

Yes, R05.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with R05.9? +

Procedures frequently paired with R05.9 include: 99202, 99203, 99212, 99213, 91035.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking