Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesAbnormal findings on diagnostic imaging and in function studies, without diagnosisICD-10-CM r93-abnormal-diagnostic-imaging-findings
    Ask Trek AI about this page

    ICD-10-CM Code For Abnormal Findings On Diagnostic Imaging Of Other Body Structures: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group R93 includes abnormal or inconclusive findings identified on imaging studies of body structures not classified elsewhere, such as unexpected lesions, masses, or structural anomalies. These ICD-10-CM diagnosis codes are used to document imaging-detected abnormalities that require correlation with clinical evaluation, additional testing, or follow-up to determine clinical significance. Accurate coding within the ICD-10-CM R93 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Abnormal Findings On Diagnostic Imaging Of Other Body Structures: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM R93: Abnormal Findings On Diagnostic Imaging Of Other Body Structures Overview

    This code group represents abnormal or unexpected findings discovered on diagnostic imaging studies of body structures not classified elsewhere. It covers imaging observations that indicate potential pathology without a definitive clinical diagnosis, often prompting further evaluation of specific organs or tissues. Accurate coding matters for proper claim adjudication and to reflect clinical uncertainty that can affect reimbursement and continuity of care.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a diagnostic imaging study documents an abnormal or incidental finding of a body structure and no definitive diagnosis is established during the encounter. These codes are appropriate when the imaging abnormality requires further clinical correlation, additional testing, or follow-up rather than representing a confirmed disease.

    ICD-10-CM Codes

    18 rows

    ICD-10-CM CodeDescription
    R93.0Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified
    R93.1Abnormal findings on diagnostic imaging of heart and coronary circulation
    R93.2Abnormal findings on diagnostic imaging of liver and biliary tract
    R93.3Abnormal findings on diagnostic imaging of other parts of digestive tract
    R93.41Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder
    R93.421Abnormal radiologic findings on diagnostic imaging of right kidney
    R93.422Abnormal radiologic findings on diagnostic imaging of left kidney
    R93.429Abnormal radiologic findings on diagnostic imaging of unspecified kidney
    R93.49Abnormal radiologic findings on diagnostic imaging of other urinary organs
    R93.5Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum
    R93.6Abnormal findings on diagnostic imaging of limbs
    R93.7Abnormal findings on diagnostic imaging of other parts of musculoskeletal system
    R93.811Abnormal radiologic findings on diagnostic imaging of right testicle
    R93.812Abnormal radiologic findings on diagnostic imaging of left testicle
    R93.813Abnormal radiologic findings on diagnostic imaging of testicles, bilateral
    R93.819Abnormal radiologic findings on diagnostic imaging of unspecified testicle
    R93.89Abnormal findings on diagnostic imaging of other specified body structures
    R93.9Diagnostic imaging inconclusive due to excess body fat of patient

    DRG Codes

    19 rows

    DRG CodeDescription
    091Other Disorders of Nervous System with MCC
    092Other Disorders of Nervous System with CC
    093Other Disorders of Nervous System without CC/MCC
    302Atherosclerosis with MCC
    303Atherosclerosis without MCC
    391Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC
    392Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC
    444Disorders of the Biliary Tract with MCC
    445Disorders of the Biliary Tract with CC
    446Disorders of the Biliary Tract without CC/MCC
    564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
    565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
    566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
    695Kidney and Urinary Tract Signs and Symptoms with MCC
    696Kidney and Urinary Tract Signs and Symptoms without MCC
    729Other Male Reproductive System Diagnoses with CC/MCC
    730Other Male Reproductive System Diagnoses without CC/MCC
    947Signs and Symptoms with MCC
    948Signs and Symptoms without MCC

    Typical Clinical Scenarios

    • An elderly patient with progressive memory decline is brought for cognitive evaluation after a CT head performed for new-onset confusion shows non-specific cortical atrophy and white matter hypodensities without a definitive diagnosable focal lesion; the imaging findings are abnormal but not diagnostic of a specific neurodegenerative disease, so a code from this group is assigned to capture the imaging abnormality while further workup proceeds. Typical codes: R93.0, R93.6
    • A middle-aged patient presents to the emergency department after a minor motor vehicle collision; cervical spine CT demonstrates an incidental, isolated vertebral body density change suspicious for a lytic lesion but without acute fracture or confirmed malignancy, prompting short-term follow-up and additional imaging rather than an immediate definitive diagnosis. Typical codes: R93.3, R93.89
    • A patient with a history of prostate cancer undergoing routine surveillance has a whole-body bone scan that shows new focal increased radiotracer uptake in the pelvis of uncertain significance, leading to further diagnostic testing to distinguish metastasis from a benign process; the abnormal functional imaging result without a confirmed diagnosis is coded from this group. Typical codes: R93.5, R93.49

    Related Codes

    R90-ABNORMAL-FINDINGS-CENTRAL-NERVOUS-SYSTEM

    ICD-10-CM Code For Abnormal Findings On Diagnostic Imaging Of Central Nervous System: Group Overview

    R91-ABNORMAL-IMAGING-FINDINGS-LUNG

    ICD-10-CM Code For Abnormal Findings On Diagnostic Imaging Of Lung: Group Overview

    R92-ABNORMAL-BREAST-IMAGING-FINDINGS

    ICD-10-CM Code For Abnormal And Inconclusive Findings On Diagnostic Imaging Of Breast: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.