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ICD-10 Guide
ICD-10 CodesR93.49

R93.49

Abnormal radiologic findings on diagnostic imaging of other urinary organs

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R93.49 is a billable code used to indicate a diagnosis of abnormal radiologic findings on diagnostic imaging of other urinary organs.

Key Diagnostic Point:

R93.49 is used to classify abnormal findings observed during diagnostic imaging of urinary organs that do not fall under more specific categories. This may include findings from ultrasound, CT scans, or MRI that indicate potential issues such as tumors, cysts, or structural abnormalities in organs like the bladder, ureters, or kidneys. Symptoms may vary widely, including hematuria (blood in urine), dysuria (painful urination), or flank pain. Common causes of abnormal findings can include urinary tract infections, neoplasms, or congenital anomalies. The diagnostic approach typically involves correlating imaging findings with clinical symptoms and may require further investigation through additional imaging or laboratory tests to ascertain the underlying cause. Accurate coding is essential for proper patient management and reimbursement, necessitating thorough documentation of the findings and any related symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions
  • Need for correlation with clinical findings
  • Variability in imaging techniques and interpretations
  • Potential for overlapping symptoms with other urinary codes

Audit Risk Factors

  • Inadequate documentation of imaging findings
  • Failure to link symptoms to imaging results
  • Misinterpretation of imaging reports
  • Coding without sufficient clinical context

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Clear documentation of symptoms, imaging findings, and any follow-up tests or treatments.

Common Clinical Scenarios

Patients presenting with unexplained hematuria or flank pain requiring imaging.

Billing Considerations

Ensure that all relevant clinical history is documented to support the use of R93.49.

Emergency Medicine

Documentation Requirements

Thorough documentation of acute symptoms, imaging results, and immediate management plans.

Common Clinical Scenarios

Acute presentations of renal colic or urinary retention with abnormal imaging findings.

Billing Considerations

Rapid assessment and documentation are crucial in emergency settings to support coding.

Coding Guidelines

Inclusion Criteria

Use R93.49 When
  • Follow official ICD
  • CM guidelines for coding and reporting, ensuring that the code is used only when the abnormal findings are not classified elsewhere
  • Documentation must support the diagnosis and any related symptoms

Exclusion Criteria

Do NOT use R93.49 When
No specific exclusions found.

Related CPT Codes

74177CPT Code

CT abdomen and pelvis with contrast

Clinical Scenario

Used when imaging is performed to evaluate abnormal findings in urinary organs.

Documentation Requirements

Document the reason for the CT scan and any relevant clinical history.

Specialty Considerations

Ensure that the imaging report is available and correlates with the clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data for research and reimbursement. R93.49 provides a mechanism to capture findings that may not fit neatly into other categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data for research and reimbursement. R93.49 provides a mechanism to capture findings that may not fit neatly into other categories.

Reimbursement & Billing Impact

reimbursement. R93.49 provides a mechanism to capture findings that may not fit neatly into other categories.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use R93.49?

Use R93.49 when there are abnormal findings on diagnostic imaging of urinary organs that do not have a more specific code available. Ensure that the findings are documented and linked to the patient's clinical symptoms.