Is R94.8 a billable ICD-10-CM code?

Yes. R94.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R94.8 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).

R94.8

R94.8 — Abnormal results of function studies of other organs and systems

Billable / specific codeICD-10-CM

R94.8 is a billable, specific ICD-10-CM code for abnormal results of function studies of other organs and systems. It is valid for submission on a claim.

Inclusion terms

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

Abnormal basal metabolic rate [BMR]
Abnormal bladder function test
Abnormal splenic function test

Risk adjustment

R94.8 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

R94.8 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A57206Billing and Coding: Lumbar MRI

How R94.8 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 R94.8.

Abnormal, abnormality, abnormalities›basal metabolic rate
Depression›basal metabolic rate
Elevated, elevation›basal metabolic rate
Findings, abnormal, inconclusive, without diagnosis›function study NEC
Findings, abnormal, inconclusive, without diagnosis›scan NEC
High›basal metabolic rate
Low›basal metabolic rate
Abnormal, abnormality, abnormalities›function studies›bladder
Abnormal, abnormality, abnormalities›function studies›pancreas
Abnormal, abnormality, abnormalities›function studies›placenta
Abnormal, abnormality, abnormalities›function studies›spleen
Findings, abnormal, inconclusive, without diagnosis›function study NEC›bladder

Related codes at this level

Codes that share R94. If R94.8 is not quite right, the correct code is usually one of these.

Questions about R94.8

Is R94.8 a billable ICD-10-CM code?: Yes. R94.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R94.8 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).