ICD-10-CM Code R91.1

Solitary pulmonary nodule

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R91.1 is a billable code used to specify a medical diagnosis of solitary pulmonary nodule. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R91.1 might also be used to specify conditions or terms like coin lesion, coin lesion of lung, finding of number of lesions, pulmonary nodule following infection by coccidioides, single lesion, solitary nodule of lung, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R91.1
Short Description:Solitary pulmonary nodule
Long Description:Solitary pulmonary nodule

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R91.1:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Coin lesion lung
  • Solitary pulmonary nodule, subsegmental branch of the bronchial tree

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R91.1 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Coin lesion
  • Coin lesion of lung
  • Finding of number of lesions
  • Pulmonary nodule following infection by Coccidioides
  • Single lesion
  • Solitary nodule of lung

Clinical Information

  • SOLITARY PULMONARY NODULE-. a single lung lesion that is characterized by a small round mass of tissue usually less than 1 cm in diameter and can be detected by chest radiography. a solitary pulmonary nodule can be associated with neoplasm tuberculosis cyst or other anomalies in the lung the chest wall or the pleura.

Diagnostic Related Groups

The ICD-10 code R91.1 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
  • 206 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC

Convert R91.1 to ICD-9

  • 793.11 - Solitary pulmonry nodule

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)
      • Abnormal findings on diagnostic imaging of lung (R91)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Lung Diseases

When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease. If all types of lung disease are lumped together, it is the number three killer in the United States.

The term lung disease refers to many disorders affecting the lungs, such as asthma, COPD, infections like influenza, pneumonia and tuberculosis, lung cancer, and many other breathing problems. Some lung diseases can lead to respiratory failure.

Dept. of Health and Human Services Office on Women's Health


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