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ICD-10-CM Code R09.3
Abnormal sputum

Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

R09.3 is a billable ICD code used to specify a diagnosis of abnormal sputum. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

The ICD code R093 is used to code Sputum

Sputum ['spju.təm] is mucus and is the name used for the coughed-up material (phlegm) from the lower airways (trachea and bronchi). This process is known as sputilization. In medicine, sputum samples are usually used for naked eye (gross) exam, microbiological investigations of respiratory infections and cytological investigations of respiratory systems. It is critical that the patient not give a specimen that includes any mucoid material from the interior of the nose. Naked eye exam of sputum can be done at home by a patient in order to note the various colors (see below). Any hint of yellow color suggests an airway infection (but does not indicate between the types of organisms causing it). Such color hints are best detected when the sputum is viewed on a very white background such as white paper, a white pot, or a white sink surface. The more intense the yellow color, the more likely it is a bacterial infection (bronchitis, bronchopneumonia, or pneumonia).

Specialty: Pulmonology
ICD 9 Code: 786.4

Cocci-shaped Enterococcus sp. bacteria taken from a pneumonia patient.

Source: Wikipedia

Coding Notes for R09.3 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Abnormal amount of sputum
Abnormal color of sputum
Abnormal odor of sputum
Excessive sputum
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Blood-stained sputum - instead, use code R04.2

MS-DRG Mapping

  • DRG Group #204 - Respiratory signs and symptoms.

Related Concepts SNOMET-CT

  • Productive cough-yellow sputum (finding)
  • Sputum retention (finding)

ICD-10-CM Alphabetical Index References for 'R09.3 - Abnormal sputum'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code R09.3. Click on any term below to browse the alphabetical index.


Abnormal sputum (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 786.4 was previously used, R09.3 is the appropriate modern ICD10 code.

Parent Code: R09 - Other symptoms and signs involving the circulatory and respiratory system

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/R093