MCMedicalCodingSoftware
R94.5

R94.5: Abnormal results of liver function studies

Billable / specific codeICD-10-CM

R94.5 is a billable, specific ICD-10-CM code for abnormal results of liver function studies. It is valid for submission on a claim.

Check R94.5 with the rest of the claim: free scrubber

Risk adjustment

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

Medicare coverage

R94.5 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
  • A60205Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
  • A60215Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis

Alphabetic index entries that lead here

  • Abnormal, abnormality, abnormalities›function studies›liver
  • Elevated, elevation›liver function›study
  • Findings, abnormal, inconclusive, without diagnosis›function study NEC›liver

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R94

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.