Is R94.111 a billable ICD-10-CM code?

Yes. R94.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R94.111 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).

R94.111

R94.111 — Abnormal electroretinogram [ERG]

Billable / specific codeICD-10-CM

R94.111 is a billable, specific ICD-10-CM code for abnormal electroretinogram [erg]. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Abnormal retinal function study

Risk adjustment

R94.111 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

R94.111 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

How R94.111 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 R94.111.

Abnormal, abnormality, abnormalities›electroretinogram [ERG]
Abnormal, abnormality, abnormalities›retinal function study

Related codes at this level

Codes that share R94.11. If R94.111 is not quite right, the correct code is usually one of these.

Questions about R94.111

Is R94.111 a billable ICD-10-CM code?: Yes. R94.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R94.111 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).