ICD-10 R09.81
Billable / SpecificNasal congestion
About ICD-10-CM R09.81
ICD-10-CM code R09.81 represents Nasal congestion. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R09). The 2026 edition of ICD-10-CM R09.81 became effective on October 1, 2025.
Medicare LCD Coverage for R09.81
Local Coverage Determinations (LCDs) from CMS MACs that list R09.81 as a covered diagnosis.
Showing top 10 of 405 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R09.81.
1 Aetna
1 Cigna
5 Medicare
CPT Codes Commonly Billed with R09.81
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Convert R09.81 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 |
|---|---|---|
| R09.81 | 47819 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R09.81
Other codes in section R00-R09 (Symptoms and signs involving the circulatory and respiratory systems).
ICD-10 R09.81, Billing FAQ
Is ICD-10 code R09.81 billable? +
Yes, R09.81 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 R09.81? +
Procedures frequently paired with R09.81 include: 31231, 30520.
What ICD-9 codes does R09.81 map to? +
Per CMS GEMs, R09.81 maps to ICD-9 codes: 47819. 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 June 1, 2026.
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