R94.30 — Abnormal result of cardiovascular function study, unspecified
R94.30 is a billable, specific ICD-10-CM code for abnormal result of cardiovascular function study, unspecified. It is valid for submission on a claim.
Risk adjustment
R94.30 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
R94.30 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.
- A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
- A56476Billing and Coding: Cardiac Radionuclide Imaging
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625Billing and Coding: Echocardiography
How R94.30 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 R94.30.
- Abnormal, abnormality, abnormalities›function studies›cardiovascular
Related codes at this level
Codes that share R94.3. If R94.30 is not quite right, the correct code is usually one of these.
Questions about R94.30
- Is R94.30 a billable ICD-10-CM code?
- Yes. R94.30 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R94.30 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).