2026 ICD-10-CM Diagnosis Code R85.1Abnormal level of hormones in specimens from digestive organs and abdominal cavity
ICD-10-CM Codes›R00–R99›R83-R89›R85
- Billable — Valid for Submission
- Not Chronic
R85.1 is a billable ICD-10-CM diagnosis code for abnormal level of hormones in specimens from digestive organs and abdominal cavity. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 947 through 948. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Abnormal findings without diagnosis.
Code Identity
Code Classification
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Abnormal, abnormality, abnormalities - See Also: Anomaly;
- specimen
- digestive organs (peritoneal fluid) (saliva) - R85.9
- hormones - R85.1
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Abnormal, abnormality, abnormalities
- specimen
- digestive organs (peritoneal fluid) (saliva)
- hormones
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert R85.1 to ICD-9-CMHistory
Code HistoryHistory
Questions About R85.1Overview
Is R85.1 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report abnormal level of hormones in specimens from digestive organs and abdominal cavity on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does R85.1 group to?
When abnormal level of hormones in specimens from digestive organs and abdominal cavity is the principal diagnosis on an inpatient stay, it groups to MS-DRG 947, 948, with relative weights from 0.8005 to 1.2694 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R85.1 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the abnormal level of hormones in specimens from digestive organs and abdominal cavity is established, that condition takes the principal position instead.
What is the ICD-9 equivalent of R85.1?
Under the General Equivalence Mappings, abnormal level of hormones in specimens from digestive organs and abdominal cavity converts to ICD-9-CM 792.4 (abn findings-saliva) and 792.9 (abn find-body subst NEC). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
