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ICD-10 Guide
ICD-10 CodesR94.112

R94.112

Abnormal visually evoked potential [VEP]

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

Code Description

ICD-10 R94.112 is a billable code used to indicate a diagnosis of abnormal visually evoked potential [vep].

Key Diagnostic Point:

Abnormal visually evoked potential (VEP) refers to atypical results obtained from a diagnostic test that measures the electrical activity in the brain in response to visual stimuli. This test is primarily used to assess the functional integrity of the visual pathways from the retina to the occipital cortex. Abnormal VEP results can indicate various neurological conditions, including multiple sclerosis, optic neuritis, and other demyelinating diseases. Symptoms associated with abnormal VEP may include visual disturbances, such as blurred vision, loss of vision, or difficulty in visual processing. Clinicians often utilize VEP testing in conjunction with other diagnostic modalities to evaluate patients presenting with visual complaints or neurological symptoms. The interpretation of VEP results requires careful consideration of the patient's clinical history, presenting symptoms, and other diagnostic findings to establish a comprehensive understanding of the underlying condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in interpretation of VEP results based on clinical context
  • Need for correlation with other diagnostic tests and clinical findings
  • Potential overlap with other neurological conditions
  • Documentation requirements for comprehensive patient history

Audit Risk Factors

  • Inadequate documentation of clinical rationale for VEP testing
  • Failure to correlate VEP results with clinical symptoms
  • Misinterpretation of VEP findings leading to incorrect coding
  • Lack of specificity in documenting the underlying condition

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Thorough documentation of patient history, presenting symptoms, and rationale for VEP testing.

Common Clinical Scenarios

Patients presenting with unexplained visual disturbances or neurological symptoms.

Billing Considerations

Consideration of comorbid conditions that may affect visual processing.

Emergency Medicine

Documentation Requirements

Immediate documentation of acute visual symptoms and any neurological deficits.

Common Clinical Scenarios

Acute onset of visual changes or neurological signs in trauma or stroke patients.

Billing Considerations

Rapid assessment and documentation are crucial for timely intervention.

Coding Guidelines

Inclusion Criteria

Use R94.112 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with appropriate clinical documentation that supports the diagnosis and the need for VEP testing

Exclusion Criteria

Do NOT use R94.112 When
No specific exclusions found.

Related CPT Codes

95930CPT Code

Visual evoked potential test

Clinical Scenario

Used when a patient presents with visual disturbances and requires VEP testing.

Documentation Requirements

Document the indication for the test and any relevant clinical findings.

Specialty Considerations

Ensure that the test is performed in a setting equipped for neurological assessments.

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 like VEP, improving the granularity of data for research and clinical management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings like VEP, improving the granularity of data for research and clinical management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings like VEP, improving the granularity of data for research and clinical management.

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 conditions can lead to an abnormal VEP?

Conditions such as multiple sclerosis, optic neuritis, and other demyelinating diseases can lead to abnormal VEP results, indicating dysfunction in the visual pathways.