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 CodesR93.4

R93.4

Abnormal findings on diagnostic imaging of urinary organs

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

Code Description

ICD-10 R93.4 is a billable code used to indicate a diagnosis of abnormal findings on diagnostic imaging of urinary organs.

Key Diagnostic Point:

R93.4 is used to classify abnormal findings observed during diagnostic imaging of the urinary organs, which include the kidneys, ureters, bladder, and urethra. These findings may encompass a range of abnormalities such as masses, stones, cysts, or structural anomalies that do not have a specific diagnosis assigned. The imaging modalities may include ultrasound, CT scans, MRI, or X-rays. Symptoms associated with these findings can vary widely, including hematuria, flank pain, urinary frequency, or dysuria. The clinical significance of these findings often necessitates further evaluation or intervention, depending on the nature and extent of the abnormalities identified. Accurate coding is essential for appropriate patient management and billing purposes, as these findings can indicate underlying conditions such as urinary tract infections, nephrolithiasis, or malignancies. Coders must ensure that the documentation supports the findings and any subsequent diagnostic or therapeutic actions taken.

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 codes with other urinary conditions
  • Documentation requirements for specificity

Audit Risk Factors

  • Insufficient documentation linking imaging findings to clinical symptoms
  • Misinterpretation of imaging results leading to incorrect coding
  • Failure to update codes based on follow-up findings
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Clear documentation of imaging findings, correlation with patient history, and any follow-up actions taken.

Common Clinical Scenarios

Patients presenting with hematuria or flank pain requiring imaging studies.

Billing Considerations

Ensure that the imaging report is reviewed and that findings are discussed in the context of the patient's overall health.

Emergency Medicine

Documentation Requirements

Detailed documentation of acute symptoms, imaging results, and immediate management decisions.

Common Clinical Scenarios

Acute renal colic or urinary retention requiring urgent imaging.

Billing Considerations

Rapid assessment and documentation are crucial; ensure that imaging findings are clearly linked to the presenting complaint.

Coding Guidelines

Inclusion Criteria

Use R93.4 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the findings are not classified elsewhere and that documentation supports the use of this code

Exclusion Criteria

Do NOT use R93.4 When
No specific exclusions found.

Related CPT Codes

74176CPT Code

CT abdomen and pelvis with contrast

Clinical Scenario

Used when imaging is performed to evaluate for abnormalities in urinary organs.

Documentation Requirements

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

Specialty Considerations

Ensure that the imaging report is available for review.

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. R93.4 provides a clear classification for findings that do not fit into other diagnostic 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. R93.4 provides a clear classification for findings that do not fit into other diagnostic categories.

Reimbursement & Billing Impact

billing purposes. R93.4 provides a clear classification for findings that do not fit into other diagnostic 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 R93.4 be used?

R93.4 should be used when there are abnormal findings on imaging of urinary organs that do not have a specific diagnosis assigned. It is important to ensure that the documentation supports the use of this code.