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 CodesR93.1

R93.1

Abnormal findings on diagnostic imaging of heart and coronary circulation

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

Code Description

ICD-10 R93.1 is a billable code used to indicate a diagnosis of abnormal findings on diagnostic imaging of heart and coronary circulation.

Key Diagnostic Point:

R93.1 is used to classify abnormal findings observed during diagnostic imaging of the heart and coronary circulation, which may include echocardiograms, CT scans, MRIs, and angiograms. These findings can indicate a variety of conditions such as coronary artery disease, cardiomyopathy, valvular heart disease, or congenital heart defects. Symptoms may vary widely, including chest pain, shortness of breath, palpitations, or fatigue. The abnormal findings may not be specific to a single diagnosis and can represent a spectrum of cardiovascular issues. It is crucial for healthcare providers to correlate these imaging findings with clinical symptoms and other diagnostic tests to arrive at a comprehensive diagnosis and treatment plan. Accurate coding of R93.1 requires thorough documentation of the imaging results and any associated clinical findings to ensure appropriate patient management and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in imaging findings and their interpretations
  • Need for correlation with clinical symptoms
  • Potential overlap with other cardiovascular conditions
  • Documentation requirements for specificity

Audit Risk Factors

  • Inadequate documentation of imaging findings
  • Failure to correlate imaging results with clinical symptoms
  • Misuse of the code for non-specific findings
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed imaging reports, correlation with patient history, and clinical findings.

Common Clinical Scenarios

Patients presenting with chest pain or dyspnea undergoing echocardiography or stress testing.

Billing Considerations

Ensure that all relevant clinical data is included to support the diagnosis and justify the imaging.

Emergency Medicine

Documentation Requirements

Immediate documentation of imaging results and any acute symptoms.

Common Clinical Scenarios

Patients with acute chest pain or suspected myocardial infarction requiring rapid imaging.

Billing Considerations

Timeliness of documentation is critical; ensure that all findings are recorded promptly.

Coding Guidelines

Inclusion Criteria

Use R93.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when there are abnormal findings on imaging that do not have a more specific diagnosis
  • Document the reason for the imaging and any relevant clinical findings

Exclusion Criteria

Do NOT use R93.1 When
No specific exclusions found.

Related CPT Codes

93306CPT Code

Echocardiography, transthoracic, real-time with interpretation and report

Clinical Scenario

Used when echocardiography is performed to assess for abnormal findings.

Documentation Requirements

Ensure the report includes findings and clinical correlation.

Specialty Considerations

Cardiology specialists should ensure comprehensive documentation of 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 findings, improving the granularity of data for research and billing purposes. R93.1 provides a clear classification for abnormal imaging results that may not fit into more specific categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data for research and billing purposes. R93.1 provides a clear classification for abnormal imaging results that may not fit into more specific categories.

Reimbursement & Billing Impact

billing purposes. R93.1 provides a clear classification for abnormal imaging results that may not fit into more specific categories.

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 R93.1 be used?

R93.1 should be used when there are abnormal findings on diagnostic imaging of the heart that do not have a more specific diagnosis. It is important to document the imaging results and any related clinical symptoms.