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.
Check R94.111 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Abnormal retinal function study
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R94.111 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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)
Alphabetic index entries that lead here
- Abnormal, abnormality, abnormalities›electroretinogram [ERG]
- Abnormal, abnormality, abnormalities›retinal function study
Code history
Unchanged in every release from FY2024 to FY2027.