Abnormal results of function studies
In Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
23 billable codes under R94: none are a CC or MCC; none map to an HCC.
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Instructional notes
Includes: conditions that are coded here
- abnormal results of radionuclide [radioisotope] uptake studies
- abnormal results of scintigraphy
Also applies, from Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)
These notes sit on R90-R94 and apply to every code under it, including R94.
Includes: conditions that are coded here
- nonspecific abnormal findings on diagnostic imaging by computerized axial tomography [CAT scan]
- nonspecific abnormal findings on diagnostic imaging by magnetic resonance imaging [MRI][NMR]
- nonspecific abnormal findings on diagnostic imaging by positron emission tomography [PET scan]
- nonspecific abnormal findings on diagnostic imaging by thermography
- nonspecific abnormal findings on diagnostic imaging by ultrasound [echogram]
- nonspecific abnormal findings on diagnostic imaging by X-ray examination
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 R94
R94 can't be used on a claim. Pick a billable code below; grey headings group them.
- R94.0Abnormal results of function studies of central nervous system
- R94.01Abnormal electroencephalogram [EEG]
- R94.02Abnormal brain scan
- R94.09Abnormal results of other function studies of central nervous system
- R94.1Abnormal results of function studies of peripheral nervous system and special senses
- R94.11Abnormal results of function studies of eye
- R94.110Abnormal electro-oculogram [EOG]
- R94.111Abnormal electroretinogram [ERG]
- R94.112Abnormal visually evoked potential [VEP]
- R94.113Abnormal oculomotor study
- R94.118Abnormal results of other function studies of eye
- R94.12Abnormal results of function studies of ear and other special senses
- R94.120Abnormal auditory function study
- R94.121Abnormal vestibular function study
- R94.128Abnormal results of other function studies of ear and other special senses
- R94.13Abnormal results of function studies of peripheral nervous system
- R94.130Abnormal response to nerve stimulation, unspecified
- R94.131Abnormal electromyogram [EMG]
- R94.138Abnormal results of other function studies of peripheral nervous system
- R94.2Abnormal results of pulmonary function studies
- R94.3Abnormal results of cardiovascular function studies
- R94.30Abnormal result of cardiovascular function study, unspecified
- R94.31Abnormal electrocardiogram [ECG] [EKG]
- R94.39Abnormal result of other cardiovascular function study
- R94.4Abnormal results of kidney function studies
- R94.5Abnormal results of liver function studies
- R94.6Abnormal results of thyroid function studies
- R94.7Abnormal results of other endocrine function studies
- R94.8Abnormal results of function studies of other organs and systems
R94 MS-DRGs
As the principal diagnosis, the billable codes under R94 group to these 25 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 091 Other Disorders of Nervous System with MCC (7 of 23 codes)
- DRG 092 Other Disorders of Nervous System with CC (7 of 23 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (7 of 23 codes)
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (4 of 23 codes)
- DRG 125 Other Disorders of the Eye without MCC (4 of 23 codes)
- DRG 314 Other Circulatory System Diagnoses with MCC (3 of 23 codes)
- DRG 315 Other Circulatory System Diagnoses with CC (3 of 23 codes)
- DRG 316 Other Circulatory System Diagnoses without CC/MCC (3 of 23 codes)
- DRG 154 Other Ear, Nose, Mouth and Throat Diagnoses with MCC (2 of 23 codes)
- DRG 155 Other Ear, Nose, Mouth and Throat Diagnoses with CC (2 of 23 codes)
- DRG 156 Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC (2 of 23 codes)
- DRG 643 Endocrine Disorders with MCC (2 of 23 codes)
- DRG 644 Endocrine Disorders with CC (2 of 23 codes)
- DRG 645 Endocrine Disorders without CC/MCC (2 of 23 codes)
- DRG 695 Kidney and Urinary Tract Signs and Symptoms with MCC (2 of 23 codes)
- DRG 696 Kidney and Urinary Tract Signs and Symptoms without MCC (2 of 23 codes)
- DRG 205 Other Respiratory System Diagnoses with MCC (1 of 23 codes)
- DRG 206 Other Respiratory System Diagnoses without MCC (1 of 23 codes)
- DRG 441 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC (1 of 23 codes)
- DRG 442 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC (1 of 23 codes)
- DRG 443 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC (1 of 23 codes)
- DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (1 of 23 codes)
- DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (1 of 23 codes)
- DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (1 of 23 codes)
- DRG 795 Normal Newborn (1 of 23 codes)
Other codes that refer to R94
Notes on these codes point to R94.
- CH10 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH11 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH12 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH13 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH14 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH3 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH6 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH7 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH8 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- CH9 Excludes2: symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- T88.7 Excludes1: specified adverse effects of drugs and medicaments (A00-R94 and T80-T88.6, T88.8)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
