R94.2

R94.2: Abnormal results of pulmonary function studies

Billable / specific codeICD-10-CM

R94.2 is a billable, specific ICD-10-CM code for abnormal results of pulmonary function studies. It is valid for submission on a claim.

Check R94.2 with the rest of the claim: free scrubber

Inclusion terms

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

Reduced ventilatory capacity
Reduced vital capacity

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R94.2 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53065Billing and Coding: Outpatient Physical Therapy
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56697Billing and Coding: Non-Invasive Vascular Studies
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)

Alphabetic index entries that lead here

Diminished, diminution›vital capacity
Reduced›ventilatory or vital capacity
Abnormal, abnormality, abnormalities›function studies›pulmonary
Abnormal, abnormality, abnormalities›pulmonary›test results
Findings, abnormal, inconclusive, without diagnosis›function study NEC›pulmonary
Findings, abnormal, inconclusive, without diagnosis›scan NEC›lung

Code history

Unchanged in every release from FY2024 to FY2027.