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ICD-10 Guide
ICD-10 CodesR93.819

R93.819

Abnormal radiologic findings on diagnostic imaging of unspecified testicle

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

Code Description

ICD-10 R93.819 is a billable code used to indicate a diagnosis of abnormal radiologic findings on diagnostic imaging of unspecified testicle.

Key Diagnostic Point:

R93.819 is used to classify abnormal findings observed on diagnostic imaging of the testicle that do not fall under a more specific diagnosis. These findings may include but are not limited to masses, calcifications, or other anomalies detected through imaging modalities such as ultrasound, CT, or MRI. The clinical significance of these findings can vary widely, ranging from benign conditions like epididymal cysts to more serious concerns such as testicular tumors or torsion. The absence of specific symptoms or signs associated with these findings necessitates careful evaluation and follow-up to determine the underlying cause. Clinicians often rely on additional diagnostic tests and clinical correlation to establish a definitive diagnosis. Accurate coding is essential for appropriate patient management and reimbursement, as well as for tracking epidemiological trends related to testicular health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and significance of findings
  • Need for correlation with clinical symptoms and history
  • Potential overlap with other codes for specific testicular conditions
  • Documentation requirements for imaging reports

Audit Risk Factors

  • Inadequate documentation of imaging findings
  • Failure to correlate imaging results with clinical symptoms
  • Misuse of the code when a more specific diagnosis is available
  • Inconsistent reporting across different healthcare providers

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include detailed imaging findings, clinical history, and any follow-up actions taken.

Common Clinical Scenarios

Patients presenting with unexplained testicular pain or swelling, where imaging reveals abnormal findings.

Billing Considerations

Ensure that all imaging reports are reviewed and correlated with the patient's clinical presentation.

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 urgent conditions.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use R93.819 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when no specific diagnosis is available
  • Document all relevant clinical findings and imaging results to support the use of this code

Exclusion Criteria

Do NOT use R93.819 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 testicle.

Documentation Requirements

Document the reason for the ultrasound and the findings.

Specialty Considerations

Urologists may frequently order this procedure for further evaluation.

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 trends in testicular health.

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 trends in testicular health.

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 trends in testicular health.

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 R93.819 be used?

R93.819 should be used when there are abnormal findings on imaging of the testicle that do not correspond to a more specific diagnosis.