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R06.09 ICD-10-CM Code: Other forms of dyspnea

R06.09 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

R06.09

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other forms of dyspnea

Difficulty breathing that doesn't fit into other specific categories, such as shortness of breath or labored breathing.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
R06Abnormalities of breathing
R06.0Dyspnea
R06.09Other forms of dyspnea

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for R06.09 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for R06.09 in this effective period.

Related Child Codes

Official
R06.00Dyspnea, unspecified
R06.01Orthopnea
R06.02Shortness of breath
R06.03Acute respiratory distress

Includes

Official

ICD-10-CM does not list Includes notes for R06.09 in this effective period.

Excludes 1

Official
  • tachypnea NOS (R06.82)
  • transient tachypnea of newborn (P22.1)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for R06.09 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for R06.09 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for R06.09 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code when dyspnea is documented but doesn't meet criteria for more specific dyspnea codes (R06.0 subcategories)
Always investigate the underlying cause of dyspnea and code that condition separately if identified

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is R06.09 an HCC code?

No. R06.09 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
R06.09
Description
Other forms of dyspnea
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

R06.09 is the ICD-10-CM diagnosis code for other forms of dyspnea. Difficulty breathing that doesn't fit into other specific categories, such as shortness of breath or labored breathing. R06.09 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving the circulatory and respiratory systems (r00-r09).

R06.09 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code when dyspnea is documented but doesn't meet criteria for more specific dyspnea codes (R06.0 subcategories).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R06.09 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code when dyspnea is documented but doesn't meet criteria for more specific dyspnea codes (R06.0 subcategories)
  • Always investigate the underlying cause of dyspnea and code that condition separately if identified

Child Codes

Code Hierarchy

Work R06.09 in HCC Buddy

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