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R09.81

Billable

Nasal congestion

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

What This Code Means

A stuffy or blocked nose that prevents normal airflow, commonly caused by allergies, colds, or sinus inflammation.

Coding Tips

  • Determine the underlying cause (allergic, infectious, or structural) if documented
  • This is typically a minor symptom but should be coded if it is the reason for the visit

Code Hierarchy

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