R85 vs R97
R85 (Abnormal findings in specimens from digestive organs and abdominal cavity) compared with R97 (Abnormal tumor markers), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. R85 carries an Excludes2 note covering R97: “abnormal tumor markers (R97.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| R85Abnormal findings in specimens from digestive organs and abdominal cavity | R97Abnormal tumor markers | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Abnormal findings in specimens from digestive organs and abdominal cavity is a non-billable ICD-10-CM category code (R85). | Abnormal tumor markers is a non-billable ICD-10-CM category code (R97). |
| Includes | abnormal findings in peritoneal fluid abnormal findings in saliva | Elevated tumor associated antigens [TAA] Elevated tumor specific antigens [TSA] |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources