R91.1
R91.1: Solitary pulmonary nodule
Billable / specific codeICD-10-CM
R91.1 is a billable, specific ICD-10-CM code for solitary pulmonary nodule. It is valid for submission on a claim.
Check R91.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Coin lesion lung
- Solitary pulmonary nodule, subsegmental branch of the bronchial tree
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R91.1 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56612Billing and Coding: CT of the Head
- A56929Billing and Coding: BDX-XL2
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Lesion›coin, lung
- Lesion›lung(coin)
- Nodule, nodular›lung, solitary(subsegmental branch of the bronchial tree)
- Nodule, nodular›pulmonary, solitary(subsegmental branch of the bronchial tree)
- Nodule, nodular›solitary, lung(subsegmental branch of the bronchial tree)
Code history
Unchanged in every release from FY2024 to FY2027.