ICD-10 Guide

R93.812

Abnormal radiologic findings on diagnostic imaging of left testicle

BILLABLE STATUSYes

IMPLEMENTATION DATEOctober 1, 2015

LAST UPDATED09/11/2025

Code Description

ICD-10 R93.812 is a billable code used to indicate a diagnosis of abnormal radiologic findings on diagnostic imaging of left testicle.

Key Diagnostic Point:

R93.812 is used to classify abnormal findings observed in diagnostic imaging studies of the left testicle, such as ultrasound or CT scans. These findings may include masses, cysts, calcifications, or other anomalies that do not have a specific diagnosis associated with them. The abnormal findings can indicate a variety of conditions, including testicular torsion, tumors (benign or malignant), infections, or trauma. It is crucial for healthcare providers to document the specific nature of the abnormality, as well as any associated symptoms such as pain, swelling, or changes in urinary habits. The clinical context surrounding these findings, including patient history and physical examination results, plays a significant role in guiding further diagnostic evaluation and management. Accurate coding of R93.812 requires thorough documentation to ensure that the findings are appropriately linked to the patient's clinical picture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

Variability in imaging findings interpretation
Need for correlation with clinical symptoms
Potential for overlapping diagnoses
Documentation requirements for specificity

Audit Risk Factors

Inadequate documentation of imaging findings
Failure to link findings to clinical symptoms
Misinterpretation of imaging results
Coding without sufficient clinical correlation

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, physical examination findings, and imaging results must be documented.

Common Clinical Scenarios

Patients presenting with unexplained testicular pain or swelling, requiring imaging for evaluation.

Billing Considerations

Consideration of differential diagnoses such as epididymitis or testicular cancer is essential.

Emergency Medicine

Documentation Requirements

Acute care documentation must include the reason for imaging, findings, and any immediate interventions.

Common Clinical Scenarios

Acute scrotal pain or trauma cases where imaging is performed to rule out torsion or other emergencies.

Billing Considerations

Rapid assessment and documentation are critical in emergency settings to ensure timely management.

Coding Guidelines

Inclusion Criteria

Use R93.812 When

Follow the official ICD
CM coding guidelines, ensuring that the code is used only when there are abnormal findings on imaging without a definitive diagnosis
Documentation must support the use of this code

Exclusion Criteria

Do NOT use R93.812 When

No specific exclusions found.

Related CPT Codes

76700CPT Code

Ultrasound, scrotum

Clinical Scenario

When an ultrasound is performed to evaluate abnormal findings in the left testicle.

Documentation Requirements

Document the reason for the ultrasound, findings, and any follow-up recommendations.

Specialty Considerations

Urologists may perform these ultrasounds more frequently in their practice.

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 collection and enhancing the ability to track and manage patient outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data collection and enhancing the ability to track and manage patient outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data collection and enhancing the ability to track and manage patient outcomes.

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

What should be documented to support the use of R93.812?

Documentation should include the specific imaging findings, any associated symptoms, and the clinical context that led to the imaging study.

ICD-10 R93.812 is a billable code used to indicate a diagnosis of abnormal radiologic findings on diagnostic imaging of left testicle.