Abnormal findings in specimens from digestive organs and abdominal cavity
In Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
21 billable codes under R85: none are a CC or MCC; none map to an HCC.
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Instructional notes
Also applies, from Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)
These notes sit on R83-R89 and apply to every code under it, including R85.
Excludes1: not coded here, use a different code
- abnormal findings on antenatal screening of mother (O28.-)
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.
- Use of symptom codes (page 75)
- Use of a symptom code with a definitive diagnosis code (page 75)
- Combination codes that include symptoms (page 75)
- Repeated falls (page 76)
- Coma (page 76)
- Functional quadriplegia (page 76)
- SIRS due to Non-Infectious Process (page 77)
- Death NOS (page 77)
All codes under R85
R85 can't be used on a claim. Pick a billable code below; grey headings group them.
- R85.0Abnormal level of enzymes in specimens from digestive organs and abdominal cavity
- R85.1Abnormal level of hormones in specimens from digestive organs and abdominal cavity
- R85.2Abnormal level of other drugs, medicaments and biological substances in specimens from digestive organs and abdominal cavity
- R85.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from digestive organs and abdominal cavity
- R85.4Abnormal immunological findings in specimens from digestive organs and abdominal cavity
- R85.5Abnormal microbiological findings in specimens from digestive organs and abdominal cavity
- R85.6Abnormal cytological findings in specimens from digestive organs and abdominal cavity
- R85.61Abnormal cytologic smear of anus
- R85.610Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)
- R85.611Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)
- R85.612Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)
- R85.613High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
- R85.614Cytologic evidence of malignancy on smear of anus
- R85.615Unsatisfactory cytologic smear of anus
- R85.616Satisfactory anal smear but lacking transformation zone
- R85.618Other abnormal cytological findings on specimens from anus
- R85.619Unspecified abnormal cytological findings in specimens from anus
- R85.69Abnormal cytological findings in specimens from other digestive organs and abdominal cavity
- R85.7Abnormal histological findings in specimens from digestive organs and abdominal cavity
- R85.8Other abnormal findings in specimens from digestive organs and abdominal cavity
- R85.81Anal high risk human papillomavirus (HPV) DNA test positive
- R85.82Anal low risk human papillomavirus (HPV) DNA test positive
- R85.89Other abnormal findings in specimens from digestive organs and abdominal cavity
- R85.9Unspecified abnormal finding in specimens from digestive organs and abdominal cavity
R85 MS-DRGs
As the principal diagnosis, the billable codes under R85 group to MS-DRG 393, 394, 395, 947, or 948 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 393 Other Digestive System Diagnoses with MCC (11 of 21 codes)
- DRG 394 Other Digestive System Diagnoses with CC (11 of 21 codes)
- DRG 395 Other Digestive System Diagnoses without CC/MCC (11 of 21 codes)
- DRG 947 Signs and Symptoms with MCC (10 of 21 codes)
- DRG 948 Signs and Symptoms without MCC (10 of 21 codes)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
