Abnormal radiologic findings on diagnostic imaging of kidney
ICD-10 R93.42 is a billable code used to indicate a diagnosis of abnormal radiologic findings on diagnostic imaging of kidney.
R93.42 is used to classify abnormal findings observed in diagnostic imaging studies of the kidneys, such as ultrasound, CT scans, or MRIs. These findings may include the presence of masses, cysts, stones, or other structural abnormalities that do not have a definitive diagnosis at the time of imaging. The abnormal findings can indicate a range of conditions, from benign cysts to more serious pathologies like tumors or hydronephrosis. It is crucial for healthcare providers to document the specific nature of the abnormality, as this will guide further diagnostic workup and management. The code does not specify the underlying cause of the abnormality, which necessitates further investigation to determine the appropriate clinical action. Accurate coding requires a thorough understanding of the imaging results and the clinical context in which they were obtained.
Detailed notes on the patient's history, physical examination findings, and the specific nature of the imaging results.
Patients presenting with flank pain, hematuria, or abnormal lab results prompting imaging studies.
Ensure that any follow-up actions or referrals are documented to support the need for the imaging study.
Acute care notes that include the patient's presenting symptoms, imaging results, and any immediate interventions performed.
Patients with acute renal colic, trauma, or suspected urinary obstruction requiring rapid imaging.
Document the urgency of the situation and any immediate findings that necessitate further intervention.
Used when imaging is performed to evaluate for abnormalities in the kidneys.
Document the reason for the CT scan, findings, and any follow-up plans.
Ensure that the imaging is justified based on clinical symptoms.
R93.42 should be used when there are abnormal findings on kidney imaging that do not have a definitive diagnosis at the time of coding. It is important to document the findings and the clinical context.
No, if a definitive diagnosis is established, the appropriate diagnosis code should be used instead of R93.42.
