ICD-10 R09.3
Billable / SpecificAbnormal sputum
About ICD-10-CM R09.3
ICD-10-CM code R09.3 represents Abnormal sputum. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R09). The 2026 edition of ICD-10-CM R09.3 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R09.3. Per CMS ICD-10-CM Tabular 2026.
- Abnormal amount of sputum
- Abnormal color of sputum
- Abnormal odor of sputum
- Excessive sputum
Type 1 Excludes
Pure excludes, these codes can never be coded together with R09.3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- blood-stained sputum (R04.2)
Medicare LCD Coverage for R09.3
Local Coverage Determinations (LCDs) from CMS MACs that list R09.3 as a covered diagnosis.
Showing top 10 of 53 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R09.3.
1 Aetna
2 Medicare
CPT Codes Commonly Billed with R09.3
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R09.3 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R09.3 | 7864 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R09.3
Other codes in section R00-R09 (Symptoms and signs involving the circulatory and respiratory systems).
ICD-10 R09.3, Billing FAQ
Is ICD-10 code R09.3 billable? +
Yes, R09.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to R09.3? +
ICD-10 R09.3 includes: Abnormal amount of sputum; Abnormal color of sputum; Abnormal odor of sputum, and 1 more clinical synonyms.
What codes are Type 1 Excludes for R09.3? +
Type 1 Excludes (never code together with R09.3): blood-stained sputum (R04.2)
What ICD-9 codes does R09.3 map to? +
Per CMS GEMs, R09.3 maps to ICD-9 codes: 7864. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 17, 2026.
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