ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesR94.2

R94.2

Abnormal results of pulmonary function studies

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

Code Description

ICD-10 R94.2 is a billable code used to indicate a diagnosis of abnormal results of pulmonary function studies.

Key Diagnostic Point:

Abnormal results of pulmonary function studies (PFS) indicate deviations from normal respiratory function as assessed through various tests, including spirometry, lung volume measurement, and diffusion capacity tests. These studies are essential in diagnosing and managing respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), and restrictive lung diseases. Abnormal findings may include reduced forced expiratory volume (FEV1), decreased vital capacity (VC), or impaired diffusion capacity (DLCO). Clinicians interpret these results in conjunction with patient history, physical examination, and other diagnostic tests to determine the underlying cause of respiratory symptoms. Common causes of abnormal PFS results include obstructive airway diseases, interstitial lung diseases, neuromuscular disorders, and obesity hypoventilation syndrome. Accurate coding requires a thorough understanding of the clinical context and the specific abnormalities identified in the PFS.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in test results based on patient demographics and comorbidities
  • Need for correlation with clinical symptoms and history
  • Potential overlap with other respiratory conditions requiring different codes
  • Documentation of specific abnormal findings is essential for accurate coding

Audit Risk Factors

  • Inadequate documentation of the specific pulmonary function test results
  • Failure to correlate abnormal findings with clinical symptoms
  • Misuse of the code when results are normal or not clearly abnormal
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of the patient's history, physical examination findings, and specific pulmonary function test results.

Common Clinical Scenarios

Patients presenting with chronic cough, dyspnea, or wheezing requiring evaluation of lung function.

Billing Considerations

Consideration of comorbid conditions such as heart failure or obesity that may affect pulmonary function.

Emergency Medicine

Documentation Requirements

Acute care documentation must include the reason for the pulmonary function study and immediate clinical findings.

Common Clinical Scenarios

Patients with acute respiratory distress or exacerbation of chronic lung disease.

Billing Considerations

Rapid assessment and documentation of abnormal findings are crucial for timely management.

Coding Guidelines

Inclusion Criteria

Use R94.2 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when there are documented abnormal results from pulmonary function studies
  • Ensure that the clinical context supports the use of this code

Exclusion Criteria

Do NOT use R94.2 When
No specific exclusions found.

Related CPT Codes

94010CPT Code

Spirometry, including graphic record, total and timed vital capacity

Clinical Scenario

Used when performing spirometry to assess lung function.

Documentation Requirements

Document the type of spirometry performed and the results.

Specialty Considerations

Ensure that the spirometry results are clearly linked to 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 pulmonary function studies, improving the granularity of data for respiratory conditions and enhancing the ability to track and manage these diseases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal pulmonary function studies, improving the granularity of data for respiratory conditions and enhancing the ability to track and manage these diseases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal pulmonary function studies, improving the granularity of data for respiratory conditions and enhancing the ability to track and manage these diseases.

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 are the common causes of abnormal pulmonary function test results?

Common causes include obstructive lung diseases like asthma and COPD, restrictive lung diseases such as pulmonary fibrosis, and neuromuscular disorders affecting respiratory muscles.