Is R93.5 a billable ICD-10-CM code?

Yes. R93.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R93.5 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94).

R93.5

R93.5 — Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum

Billable / specific codeICD-10-CM

R93.5 is a billable, specific ICD-10-CM code for abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum. It is valid for submission on a claim.

Risk adjustment

R93.5 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.

Medicare coverage

R93.5 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A55336Billing and Coding: Retroperitoneal Ultrasound
A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56747Billing and Coding: Magnetic Resonance Angiography (MRA)

How R93.5 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R93.5.

Abnormal, abnormality, abnormalities›diagnostic imaging›abdomen, abdominal region NEC
Abnormal, abnormality, abnormalities›diagnostic imaging›retroperitoneum
Findings, abnormal, inconclusive, without diagnosis›radiologic›abdomen
Findings, abnormal, inconclusive, without diagnosis›radiologic›retroperitoneum

Related codes at this level

Codes that share R93. If R93.5 is not quite right, the correct code is usually one of these.

Questions about R93.5

Is R93.5 a billable ICD-10-CM code?: Yes. R93.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R93.5 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94).