Is R85.6 a billable ICD-10-CM code?

No. R85.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R85.6 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89).

R85.6

R85.6 — Abnormal cytological findings in specimens from digestive organs and abdominal cavity

Non-billable headerICD-10-CM

R85.6 is a non-billable header ICD-10-CM code for abnormal cytological findings in specimens from digestive organs and abdominal cavity. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with R85.6

These codes carry an Excludes1 note pointing at R85.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R85.6 alone.

R85.61Abnormal cytologic smear of anus
K62.82Dysplasia of anus

Risk adjustment

R85.6 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R85.6

2 child codes. Green means billable.

Related codes at this level

Codes that share R85. If R85.6 is not quite right, the correct code is usually one of these.

Questions about R85.6

Is R85.6 a billable ICD-10-CM code?: No. R85.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R85.6 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89).