2027 ICD-10-CM Diagnosis Code R85Abnormal findings in specimens from digestive organs and abdominal cavity
R85 is a non-billable ICD-10-CM category code for abnormal findings in specimens from digestive organs and abdominal cavity, so it cannot be submitted on claims. Use a more specific code from this category instead, such as R85.0, R85.1, R85.2, and R85.3. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established.
Code Identity
Code Classification
Specific Coding for Abnormal findings in specimens from dgstv org/abd cavOverview
Non-specific codes like R85 require more characters. Use one of these billable codes instead:
Use R85.0 for Abnormal level of enzymes in specimens from digestive organs and abdominal cavity
Use R85.1 for Abnormal level of hormones in specimens from digestive organs and abdominal cavity
Use R85.2 for Abnormal level of other drugs, medicaments and biological substances in specimens from digestive organs and abdominal cavity
Use R85.3 for Abnormal level of substances chiefly nonmedicinal as to source in specimens from digestive organs and abdominal cavity
Use R85.4 for Abnormal immunological findings in specimens from digestive organs and abdominal cavity
Use R85.5 for Abnormal microbiological findings in specimens from digestive organs and abdominal cavity
R85.6 for Abnormal cytological findings in specimens from digestive organs and abdominal cavity
R85.61 for Abnormal cytologic smear of anus
Use R85.69 for Abnormal cytological findings in specimens from other digestive organs and abdominal cavity
Use R85.7 for Abnormal histological findings in specimens from digestive organs and abdominal cavity
R85.8 for Other abnormal findings in specimens from digestive organs and abdominal cavity
Use R85.81 for Anal high risk human papillomavirus (HPV) DNA test positive
Use R85.82 for Anal low risk human papillomavirus (HPV) DNA test positive
Use R85.89 for Other abnormal findings in specimens from digestive organs and abdominal cavity
Use R85.9 for Unspecified abnormal finding in specimens from digestive organs and abdominal cavity
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R85: its own notes plus those printed at block R83-R89 and Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- abnormal findings in peritoneal fluid
- abnormal findings in saliva
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- abnormal findings on antenatal screening of mother (O28.-)
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- 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.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Code HistoryHistory
Questions About R85Overview
Is R85 a billable code?
No. This is a category header that groups the codes for abnormal findings in specimens from digestive organs and abdominal cavity, and headers cannot be submitted on claims. Claims for abnormal findings in specimens from digestive organs and abdominal cavity need a more specific code from this category, such as R85.0, R85.1, and R85.2.
Can R85 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the abnormal findings in specimens from digestive organs and abdominal cavity is established, that condition takes the principal position instead.
Can R85 be reported with R88.0?
Not as a rule. The Excludes1 note on R85 lists "cloudy peritoneal dialysis effluent (R88.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).