Wiki Ekg - would code the borderline

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Code: R94.31

Code Name: ICD-10 Code for Abnormal electrocardiogram [ECG] [EKG]

Block: Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

Includes: nonspecific abnormal findings on diagnostic imaging by computerized axial tomography [CAT scan]
nonspecific abnormal findings on diagnostic imaging by magnetic resonance imaging [MRI][NMR]
nonspecific abnormal findings on diagnostic imaging by positron emission tomography [PET scan]
nonspecific abnormal findings on diagnostic imaging by thermography
nonspecific abnormal findings on diagnostic imaging by ultrasound [echogram]
nonspecific abnormal findings on diagnostic imaging by X-ray examination

Excludes 1: abnormal findings on antenatal screening of mother (O28.-)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index"

Details: Abnormal electrocardiogram [ECG] [EKG]

Excludes 1: long QT syndrome (I45.81)


Includes: abnormal results of radionuclide [radioisotope] uptake studies
abnormal results of scintigraphy

Guidelines: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note: This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excludes 2: abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

For more details on R94.31 , ICD-10 Code for Abnormal electrocardiogram [ECG] [EKG] , visit:


Clinton, PA
Best answers
Could someone please help me with this?

Admitting diagnosis: atypical chest pain DX:
Service: EKG
Test result: Borderline EKG

You would code the borderline EKG. Can you use abnormal EKG ICD 9 Code 794.31?


Local Chapter Officer
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Abnormal EKGs

When coding the EKG, is it appropriate to code the sinus bradycardia or 1st degree AV block AND then also code abnormal EKG 794.31? Please help. My understanding is that 794.31 should only be used if there is no specific dx as why the EKG is normal, is that correct?


Best answers
We code the DX sinus tachy/brady 427.81 only and then AV block (if that was the order it was stated on the EKG). We don't normaly put the code for ABN EKG if there is a DX.
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