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ICD-10 Guide
ICD-10 CodesR93.813

R93.813

Abnormal radiologic findings on diagnostic imaging of testicles, bilateral

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

Code Description

ICD-10 R93.813 is a billable code used to indicate a diagnosis of abnormal radiologic findings on diagnostic imaging of testicles, bilateral.

Key Diagnostic Point:

R93.813 is used to classify abnormal findings observed in diagnostic imaging studies of the testicles, specifically when both testicles are affected. These findings may include abnormalities such as masses, calcifications, or other structural anomalies that are detected through imaging modalities like ultrasound, CT scans, or MRI. The clinical significance of these findings can vary widely, ranging from benign conditions such as epididymal cysts to more serious concerns like testicular tumors or torsion. Symptoms may include pain, swelling, or changes in testicular size or shape, but in many cases, patients may be asymptomatic. The identification of abnormal radiologic findings necessitates further evaluation and potential intervention, depending on the underlying cause. Accurate coding of these findings is crucial for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in imaging findings and their clinical significance
  • Need for correlation with clinical symptoms and history
  • Potential for overlapping symptoms with other conditions
  • Documentation requirements for specificity

Audit Risk Factors

  • Inadequate documentation of imaging findings
  • Failure to link findings to clinical symptoms
  • Misinterpretation of bilateral versus unilateral findings
  • Lack of follow-up documentation for abnormal findings

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed clinical history, imaging reports, and correlation with physical examination findings.

Common Clinical Scenarios

Patients presenting with scrotal pain or swelling, requiring imaging to assess for underlying pathology.

Billing Considerations

Ensure that the imaging findings are clearly documented and linked to the patient's symptoms for accurate coding.

Emergency Medicine

Documentation Requirements

Acute care notes, imaging results, and any immediate interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Timely documentation is critical in emergency settings to support the urgency of the findings.

Coding Guidelines

Inclusion Criteria

Use R93.813 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when there are documented abnormal findings on imaging
  • The findings must be clearly linked to the patient's clinical presentation

Exclusion Criteria

Do NOT use R93.813 When
No specific exclusions found.

Related CPT Codes

76700CPT Code

Ultrasound, scrotum

Clinical Scenario

Used when imaging is performed to evaluate abnormal findings in the testicles.

Documentation Requirements

Ensure that the ultrasound report details the findings and correlates with the diagnosis.

Specialty Considerations

Urologists may frequently order this procedure for patients with testicular abnormalities.

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 accuracy of diagnoses and treatment planning. R93.813 provides a clear classification for bilateral findings, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the accuracy of diagnoses and treatment planning. R93.813 provides a clear classification for bilateral findings, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the accuracy of diagnoses and treatment planning. R93.813 provides a clear classification for bilateral findings, which was less defined in ICD-9.

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 I document to support the use of R93.813?

Document the specific imaging findings, correlate them with the patient's clinical symptoms, and include any follow-up plans or interventions.