Wiki Replacement code for R93.4 with 58558 hysteroscopy bioposy?

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Code: R93.4
Abnormal findings on diagnostic imaging of urinary organs
Excludes 2: hypertrophy of kidney (N28.81)

Category Notes
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

Coding 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)
Albuquerque, New Mexico
Best answers
I'm trying to bill 58558 hysteroscopy biopsy for ICD10 of abnl findings ultrasound pelvis. We can't use R93.4 (abnl findings diagnostic imaging urinary organs) anymore cause it was deleted as billable code as of 10/1/17:mad::mad: Does anyone know if we can bill R93.5 now with 58558? Or what R code we can use? thanks!!:eek::eek: -Lee
Best answers
R93.4 is only deleted in the sense that it is now truncated - you need to go to the 5th (or even 6th) digit. It depends where the abnormal findings are:
R93.41 - for renal pelvis, ureter, or bladder
R93.421 - for right kidney
R93.422 - for left kidney
R93.429 - for unspecified kidney
R93.49 - for other urinary organs
R93.5 is for "other abdominal regions, including retroperitoneum"
R93.8 is for "other specified body structures"
I don't think you would have trouble getting 58558 paid for any of the R93.4_ codes, or R93.5, or R93.8. You should use the code based on where the abnormal ultrasound finding are exactly located.