Chapter 18

R00–R99: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

Symptoms, Signs and Abnormal Clinical and Laboratory Findings diagnostic classification updated for 2026.

Chapter Instructions

Excludes2(Not included here. Code separately if applicable.)
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)
Internal Codes
  • R07.1

    Chest pain on breathing

  • R07.2

    Precordial pain

  • R07.8

    Other chest pain

  • R07.81

    Pleurodynia

  • R07.82

    Intercostal pain

  • R07.89

    Other chest pain

  • R07.9

    Chest pain, unspecified

  • R09

    Other symptoms and signs involving the circulatory and respiratory system

  • R09.0

    Asphyxia and hypoxemia

  • R09.01

    Asphyxia

  • R09.02

    Hypoxemia

  • R09.1

    Pleurisy

  • R09.2

    Respiratory arrest

  • R09.3

    Abnormal sputum

  • R09.8

    Other specified symptoms and signs involving the circulatory and respiratory systems

  • R09.81

    Nasal congestion

  • R09.82

    Postnasal drip

  • R09.89

    Other specified symptoms and signs involving the circulatory and respiratory systems

  • R09.A

    Foreign body sensation of the circulatory and respiratory system

  • R09.A0

    Foreign body sensation, unspecified

  • R09.A1

    Foreign body sensation, nose

  • R09.A2

    Foreign body sensation, throat

  • R09.A9

    Foreign body sensation, other site

  • R10

    Abdominal and pelvic pain

  • R10.0

    Acute abdomen

  • R10.1

    Pain localized to upper abdomen

  • R10.10

    Upper abdominal pain, unspecified

  • R10.11

    Right upper quadrant pain

  • R10.12

    Left upper quadrant pain

  • R10.13

    Epigastric pain

  • R10.2

    Pelvic and perineal pain

  • R10.20

    Pelvic and perineal pain unspecified side

  • R10.21

    Pelvic and perineal pain right side

  • R10.22

    Pelvic and perineal pain left side

  • R10.23

    Pelvic and perineal pain bilateral

  • R10.24

    Suprapubic pain

  • R10.3

    Pain localized to other parts of lower abdomen

  • R10.30

    Lower abdominal pain, unspecified

  • R10.31

    Right lower quadrant pain

  • R10.32

    Left lower quadrant pain

  • R10.33

    Periumbilical pain

  • R10.8

    Other abdominal pain

  • R10.81

    Abdominal tenderness

  • R10.811

    Right upper quadrant abdominal tenderness

  • R10.812

    Left upper quadrant abdominal tenderness

  • R10.813

    Right lower quadrant abdominal tenderness

  • R10.814

    Left lower quadrant abdominal tenderness

  • R10.815

    Periumbilic abdominal tenderness

  • R10.816

    Epigastric abdominal tenderness

  • R10.817

    Generalized abdominal tenderness

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