ICD-10-CM Code R93.1

Abnormal findings on diagnostic imaging of heart and coronary circulation

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R93.1 is a billable code used to specify a medical diagnosis of abnormal findings on diagnostic imaging of heart and coronary circulation. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R93.1 might also be used to specify conditions or terms like abnormal finding on screening procedure, abnormal findings diagnostic imaging heart+coronary circulat, abnormal radionuclide scan, angiocardiography abnormal, aortic aneurysm screening abnormal, coeur en sabot, 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:R93.1
Short Description:Abnormal findings on dx imaging of heart and cor circ
Long Description:Abnormal findings on diagnostic imaging of heart and coronary circulation

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 R93.1:

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.
  • Abnormal echocardiogram NOS
  • Abnormal heart shadow

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 R93.1 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:

  • Abnormal finding on screening procedure
  • Abnormal findings diagnostic imaging heart+coronary circulat
  • Abnormal radionuclide scan
  • Angiocardiography abnormal
  • Aortic aneurysm screening abnormal
  • Coeur en sabot
  • Coronary arteriography abnormal
  • Coronary slow flow phenomenon
  • Decreased cardiac ejection fraction
  • Decreased cardiac function
  • Echocardiogram abnormal
  • Echocardiogram shows left ventricular diastolic dysfunction
  • Echocardiogram shows left ventricular systolic dysfunction
  • Enlarged aortic root
  • Heart valve calcification
  • Left ventricular blood flow - finding
  • Left ventricular echogenic stagnant blood
  • Left ventricular function - finding
  • Left ventricular mass
  • New left ventricular wall motion abnormality compared to prior study
  • Radiographic shadow of heart abnormal
  • Radionuclide heart study abnormal
  • Right ventricular blood flow - finding
  • Right ventricular echogenic stagnant blood
  • Right ventricular function - finding
  • Right ventricular mass

Diagnostic Related Groups

The ICD-10 code R93.1 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.

  • 302 - ATHEROSCLEROSIS WITH MCC
  • 303 - ATHEROSCLEROSIS WITHOUT MCC

Convert R93.1 to ICD-9

  • 793.2 - Nonsp abn intrathor NEC (Approximate Flag)

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 body structures (R93)

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


Heart Health Tests

Heart diseases are the number one killer in the U.S. They are also a major cause of disability. If you do have a heart disease, it is important to find it early, when it is easier to treat. Blood tests and heart health tests can help find heart diseases or identify problems that can lead to heart diseases. There are several different types of heart health tests. Your doctor will decide which test or tests you need, based on your symptoms (if any), risk factors, and medical history.

Cardiac Catheterization

Cardiac catheterization is a medical procedure used to diagnose and treat some heart conditions. For the procedure, your doctor puts a catheter (a long, thin, flexible tube) into a blood vessel in your arm, groin, or neck, and threads it to your heart. The doctor can use the catheter to

  • Do a coronary angiography. This involves putting a special type of dye in the catheter, so the dye can flow through your bloodstream to your heart. Then your doctor takes x-rays of your heart. The dye allows your doctor to see your coronary arteries on the x-ray, and to check for coronary artery disease (plaque buildup in the arteries).
  • Take samples of blood and heart muscle
  • Do procedures such as minor heart surgery or angioplasty, if your doctor finds that you need it

Cardiac CT Scan

A cardiac CT (computed tomography) scan is a painless imaging test that uses x-rays to take detailed pictures of your heart and its blood vessels. Computers can combine these pictures to create a three-dimensional (3D) model of the whole heart. This test can help doctors detect or evaluate

  • Coronary artery disease
  • Calcium buildup in the coronary arteries
  • Problems with the aorta
  • Problems with heart function and valves
  • Pericardial diseases

Before you have the test, you get an injection of contrast dye. The dye highlights your heart and blood vessels in the pictures. The CT scanner is a large, tunnel-like machine. You lie still on a table which slides you into the scanner, and the scanner takes the pictures for about 15 minutes.

Cardiac MRI

Cardiac MRI (magnetic resonance imaging) is a painless imaging test that uses radio waves, magnets, and a computer to create detailed pictures of your heart. It can help your doctor figure out whether you have heart disease, and if so, how severe it is. A cardiac MRI can also help your doctor decide the best way to treat heart problems such as

  • Coronary artery disease
  • Heart valve problems
  • Pericarditis
  • Cardiac tumors
  • Damage from a heart attack

The MRI is a large, tunnel-like machine. You lie still on a table which slides you into the MRI machine. The machine makes loud noises as it takes pictures of your heart. It usually takes about 30-90 minutes. Sometimes before the test, you might get an injection of contrast dye. The dye highlights your heart and blood vessels in the pictures.

Chest X-Ray

A chest x-ray creates pictures of the organs and structures inside your chest, such as your heart, lungs, and blood vessels. It can reveal signs of heart failure, as well as lung disorders and other causes of symptoms not related to heart disease.

Coronary Angiography

Coronary angiography (angiogram) is a procedure that uses contrast dye and x-ray pictures to look at the insides of your arteries. It can show whether plaque is blocking your arteries and how severe the blockage is. Doctors use this procedure to diagnose heart diseases after chest pain, sudden cardiac arrest, or abnormal results from other heart tests such as an EKG or a stress test.

You usually have a cardiac catheterization to get the dye into your coronary arteries. Then you have special x-rays while the dye is flowing through your coronary arteries. The dye lets your doctor study the flow of blood through your heart and blood vessels.

Echocardiography

Echocardiography, or echo, is a painless test that uses sound waves to create moving pictures of your heart. The pictures show the size and shape of your heart. They also show how well your heart's chambers and valves are working. Doctors use an echo to diagnose many different heart problems, and to check how severe they are.

For the test, a technician applies gel to your chest. The gel helps sound waves reach your heart. The technician moves a transducer (wand-like device) around on your chest. The transducer connects to a computer. It transmits ultrasound waves into your chest, and the waves bounce (echo) back. The computer converts the echoes into pictures of your heart.

Electrocardiogram (EKG), (ECG)

An electrocardiogram, also called an ECG or EKG, is a painless test that detects and records your heart's electrical activity. It shows how fast your heart is beating and whether its rhythm is steady or irregular.

An EKG may be part of a routine exam to screen for heart disease. Or you may get it to detect and study heart problems such as heart attacks, arrhythmia, and heart failure.

For the test, you lie still on a table and a nurse or technician attaches electrodes (patches that have sensors) to the skin on your chest, arms, and legs. Wires connect the electrodes to a machine that records your heart's electrical activity.

Stress Testing

Stress testing looks at how your heart works during physical stress. It can help to diagnose coronary artery disease, and to check how severe it is. It can also check for other problems, including heart valve disease and heart failure.

For the test, you exercise (or are given medicine if you are unable to exercise) to make your heart work hard and beat fast. While this is happening, you get an EKG and blood pressure monitoring. Sometimes you may also have an echocardiogram, or other imaging tests such as a nuclear scan. For the nuclear scan, you get an injection of a tracer (a radioactive substance), which travels to your heart. Special cameras detect the energy from the tracer to make pictures of your heart. You have pictures taken after you exercise, and then after you rest.

NIH: National Heart, Lung, and Blood Institute


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