R94
R94 — Abnormal results of function studies
Non-billable headerICD-10-CM
R94 is a non-billable header ICD-10-CM code for abnormal results of function studies. It cannot be billed on its own: choose one of the more specific child codes below.
Includes
Conditions this code covers.
- abnormal results of radionuclide [radioisotope] uptake studies
- abnormal results of scintigraphy
Other codes that can never be billed with R94
These codes carry an Excludes1 note pointing at R94. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R94 alone.
- R94.131Abnormal electromyogram [EMG]
- T88.7Unspecified adverse effect of drug or medicament
- T88.7XXAUnspecified adverse effect of drug or medicament, initial encounter
- T88.7XXDUnspecified adverse effect of drug or medicament, subsequent encounter
- T88.7XXSUnspecified adverse effect of drug or medicament, sequela
Risk adjustment
R94 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 R94
9 child codes. Green means billable.
- R94.0Abnormal results of function studies of central nervous system
- R94.1Abnormal results of function studies of peripheral nervous system and special senses
- R94.2Abnormal results of pulmonary function studies
- R94.3Abnormal results of cardiovascular function studies
- R94.4Abnormal results of kidney function studies
- R94.5Abnormal results of liver function studies
- R94.6Abnormal results of thyroid function studies
- R94.7Abnormal results of other endocrine function studies
- R94.8Abnormal results of function studies of other organs and systems
Questions about R94
- Is R94 a billable ICD-10-CM code?
- No. R94 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does R94 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).