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v1.0.0
ICD-10 Guide
ICD-10 CodesR93.6

R93.6

Abnormal findings on diagnostic imaging of limbs

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

Code Description

ICD-10 R93.6 is a billable code used to indicate a diagnosis of abnormal findings on diagnostic imaging of limbs.

Key Diagnostic Point:

R93.6 is used to classify abnormal findings observed on diagnostic imaging studies specifically related to the limbs, including X-rays, MRIs, and CT scans. These findings may include but are not limited to fractures, dislocations, tumors, infections, or degenerative changes. The limbs, which encompass the arms and legs, are subject to a variety of conditions that can be detected through imaging. Abnormal findings may present as structural anomalies, soft tissue abnormalities, or bone density changes. Clinicians often rely on these imaging results to guide further diagnostic workup, treatment planning, and monitoring of conditions. It is essential to note that this code does not specify the underlying cause of the abnormality, which may require additional codes for complete clinical picture. Accurate documentation of the imaging findings, the clinical context, and any relevant symptoms is crucial for proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in imaging findings interpretation
  • Need for correlation with clinical symptoms
  • Potential for multiple underlying conditions
  • Documentation requirements for specificity

Audit Risk Factors

  • Inadequate documentation of imaging findings
  • Failure to link imaging findings to clinical symptoms
  • Misinterpretation of imaging results
  • Use of the code without a definitive diagnosis

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Clear documentation of the clinical rationale for imaging, findings, and any follow-up actions.

Common Clinical Scenarios

Patients presenting with limb pain, swelling, or trauma requiring imaging.

Billing Considerations

Ensure that imaging findings are clearly linked to the patient's clinical presentation.

Emergency Medicine

Documentation Requirements

Thorough documentation of acute presentations, imaging results, and immediate treatment decisions.

Common Clinical Scenarios

Acute limb injuries, fractures, or suspected infections requiring rapid imaging.

Billing Considerations

Document the urgency of the situation and the rationale for imaging to support coding.

Coding Guidelines

Inclusion Criteria

Use R93.6 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when there is a documented abnormal finding on imaging
  • The findings must be clearly linked to the patient's clinical symptoms or conditions

Exclusion Criteria

Do NOT use R93.6 When
No specific exclusions found.

Related CPT Codes

73630CPT Code

X-ray of limb

Clinical Scenario

When an X-ray is performed to evaluate limb pain.

Documentation Requirements

Document the reason for the X-ray and findings.

Specialty Considerations

Ensure that the imaging report is available for coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding abnormal findings, improving the ability to capture the nuances of imaging results and their clinical implications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding abnormal findings, improving the ability to capture the nuances of imaging results and their clinical implications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding abnormal findings, improving the ability to capture the nuances of imaging results and their clinical implications.

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 R93.6?

Use R93.6 when there are abnormal findings on diagnostic imaging of the limbs that do not have a more specific diagnosis or code.