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R93.811 ICD-10-CM Code: Abnormal radiologic findings on diagnostic imaging of right testicle

Compare with another code for R93.811Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
6 inclusion terms · 2 Excludes1

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes1from R90-R94Not reported with this code unless documented as unrelated
  • abnormal findings on antenatal screening of mother (O28.-)
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Includesfrom R90-R94What R90-R94 covers
  • nonspecific abnormal findings on diagnostic imaging by computerized axial tomography [CAT scan]
  • nonspecific abnormal findings on diagnostic imaging by magnetic resonance imaging [MRI][NMR]
  • nonspecific abnormal findings on diagnostic imaging by positron emission tomography [PET scan]
  • nonspecific abnormal findings on diagnostic imaging by thermography

+2 more in Instructions

Where it sits Source: CMS/NCHS

Under:Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere ClassifiedR90-R94 Abnormal findings on diagnostic imaging and in function studies, without diagnosisR93 Abnormal findings on diagnostic imaging of other body structuresR93.8 Abnormal findings on diagnostic imaging of other specified body structuresR93.81 Abnormal radiologic findings on diagnostic imaging of testis

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 729 — OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC (MDC 12)
  • MS-DRG 730 — OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 12)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for R93.811 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on R93.811 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • nonspecific abnormal findings on diagnostic imaging by computerized axial tomography [CAT scan]
  • nonspecific abnormal findings on diagnostic imaging by magnetic resonance imaging [MRI][NMR]
  • nonspecific abnormal findings on diagnostic imaging by positron emission tomography [PET scan]
  • nonspecific abnormal findings on diagnostic imaging by thermography
  • nonspecific abnormal findings on diagnostic imaging by ultrasound [echogram]
  • nonspecific abnormal findings on diagnostic imaging by X-ray examination

Source: inherited from R90-R94

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

  • abnormal findings on antenatal screening of mother (O28.-) Compare R93.811 vs O28 →
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index

Source: inherited from R90-R94

Coder workflow for R93.811

MedCoder structured workflow — derived from this code’s own official record

Before you code R93.811

  1. Check whether an established diagnosis that explains this sign or symptom is documented. If one is, review whether the documented diagnosis changes the coding pathway: a symptom that is integral to a confirmed diagnosis is not reported separately, while one not routinely associated with it may be. Signs and symptoms are reported when no definitive diagnosis is established (Guidelines I.B.4, I.B.5, I.B.6, I.C.18.b).

    Guide: Symptom code vs confirmed diagnosis →

  2. Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: right). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).

    ReviewR93.812 · left, R93.819 · unspecified

    Guide: Laterality coding →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with R93.811. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Is an established diagnosis that explains this sign or symptom documented?
    Yes → Review whether the documented diagnosis changes the coding pathway: a symptom integral to it is not reported separately.
    No → Continue — the sign or symptom code stands when no definitive diagnosis is established.
  2. Does the documentation support a condition named in R93.811’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewO28

  3. Is the side documented?
    Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
    No → Use the unspecified-side code only when the record states no side; a query is the alternative.

    ReviewR93.812 · left, R93.819 · unspecified

Consider R93.811. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Laterality
Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).

Official instructions as workflow

  • Excludes1 — check before selecting R93.811(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with R93.811: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareO28

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The sign or symptom is documented, and the same record establishes a diagnosis that routinely includes it.

Coding question: Is R93.811 reported in addition to the diagnosis?

Path: Review the documented diagnosis and whether the classification treats this finding as integral to it.

Reason: Signs and symptoms integral to a confirmed diagnosis are not coded separately; those not routinely associated with it may be reported when present (Guidelines I.B.5, I.B.6, I.C.18.b).

Documentation: Both the condition R93.811 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewO28

Documentation: The record documents the condition on one side only.

Coding question: Which code in this family applies?

Path: Select the sibling code for the documented side.

Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).

ReviewR93.812 · left, R93.819 · unspecified

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse R93.811 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of R93.811 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • O28— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of abnormal findings on antenatal screening of mother moves the case to O28; the two are not reported together unless documented as unrelated.

    Full comparison: R93.811 vs O28 →

  • R93.819— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Abnormal radiologic findings on diagnostic imaging of unspecified testicle” takes R93.819; specificity in the record moves it back here.

    Full comparison: R93.811 vs R93.819 →

  • R93.812— Laterality relationship (Review)

    Same condition; these differ only in which side is documented.

    The same condition with a different side named (the opposite side, both sides, or none); the documented side decides, and a bilateral code, where one exists, replaces the pair when both sides are documented.

    What moves you there: A documented left side moves the case to R93.812.

    Full comparison: R93.811 vs R93.812 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Abnormal radiologic findings on diagnostic imaging of right testicle is a billable ICD-10-CM diagnosis code (R93.811).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name R93.811 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: R22 — Localized swelling, mass and lump of skin and subcutaneous tissue (via R93.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: R93.6 — Abnormal findings on diagnostic imaging of limbs (via R93.8.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 2 MS-DRGs: DRG 729 (MDC 12), DRG 730 (MDC 12).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):SYM017 — Abnormal findings without diagnosis (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same condition, different side

Same title, differing only in which side of the body it names: right, left, bilateral or unspecified.

R93.812 — Abnormal radiologic findings on diagnostic imaging of left testicle (left)Compare R93.811 vs R93.812 →, R93.819 — Abnormal radiologic findings on diagnostic imaging of unspecified testicle (unspecified)Compare R93.811 vs R93.819 →

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Abnormal findings without diagnosis).

R93.4 — Abnormal findings on diagnostic imaging of urinary organs, R93.41 — Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder, R93.421 — Abnormal radiologic findings on diagnostic imaging of right kidney, R93.422 — Abnormal radiologic findings on diagnostic imaging of left kidney, R93.429 — Abnormal radiologic findings on diagnostic imaging of unspecified kidney, R93.49 — Abnormal radiologic findings on diagnostic imaging of other urinary organs, R93.5 — Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum, R93.6 — Abnormal findings on diagnostic imaging of limbs, R93.7 — Abnormal findings on diagnostic imaging of other parts of musculoskeletal system, R93.8 — Abnormal findings on diagnostic imaging of other specified body structures, R93.812 — Abnormal radiologic findings on diagnostic imaging of left testicle, R93.813 — Abnormal radiologic findings on diagnostic imaging of testicles, bilateral, R93.819 — Abnormal radiologic findings on diagnostic imaging of unspecified testicle, R93.89 — Abnormal findings on diagnostic imaging of other specified body structures, R93.9 — Diagnostic imaging inconclusive due to excess body fat of patient, R94.01 — Abnormal electroencephalogram [EEG], R94.02 — Abnormal brain scan, R94.09 — Abnormal results of other function studies of central nervous system, R94.110 — Abnormal electro-oculogram [EOG], R94.111 — Abnormal electroretinogram [ERG], +183 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Abnormal, abnormality, abnormalities”, “Findings, abnormal, inconclusive, without diagnosis”; these codes share that main term but sit in a different category of the Tabular List.

R89.7 — Abnormal histological findings in specimens from other organs, systems and tissues (myoglobin), R89.8 — Other abnormal findings in specimens from other organs, systems and tissues (karyotype), R89.9 — Unspecified abnormal finding in specimens from other organs, systems and tissues (specimen, specified organ, system and tissue NOS), R90.81 — Abnormal echoencephalogram (echoencephalogram), R90.89 — Other abnormal findings on diagnostic imaging of central nervous system (diagnostic imaging, cerebrovascular NEC), R91.8 — Other nonspecific abnormal finding of lung field (diagnostic imaging, lung), R92.0 — Mammographic microcalcification found on diagnostic imaging of breast (mammogram NEC, microcalcification), R92.1 — Mammographic calcification found on diagnostic imaging of breast (mammogram NEC, calcification), R92.2 — Inconclusive mammogram (mammogram NEC, inconclusive result), R92.8 — Other abnormal and inconclusive findings on diagnostic imaging of breast (mammogram NEC), R94.01 — Abnormal electroencephalogram [EEG] (electroencephalogram [EEG]), R94.02 — Abnormal brain scan (brain scan), R94.09 — Abnormal results of other function studies of central nervous system (function studies, brain), R94.110 — Abnormal electro-oculogram [EOG] (electro-oculogram [EOG]), R94.111 — Abnormal electroretinogram [ERG] (retinal function study), R94.112 — Abnormal visually evoked potential [VEP] (visually evoked potential), R94.113 — Abnormal oculomotor study (oculomotor study), R94.118 — Abnormal results of other function studies of eye (function studies, eye NEC), R94.120 — Abnormal auditory function study (function studies, auditory), R94.121 — Abnormal vestibular function study (function studies, vestibular), +268 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Alpha-Fetoprotein (AFP) Test, Thyroid Stimulating Hormone (TSH)

Contextual Map

Every relationship of R93.811 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run R93.811 with these 2 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 12 — Diseases and Disorders of the Male Reproductive System[MDC crossing]: “Diseases and Disorders of the Male Reproductive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,969 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Nearest codes (22)

Change history

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "R93.811 — Abnormal radiologic findings on diagnostic imaging of right testicle." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/r93.811-abnormal-radiologic-findings-on-diagnostic-imaging-of-right-testicle

Change history

  • FY2019 — October 1, 2018
    Added to the code set
    Abnormal radiologic findings on diagnostic imaging of right testicle
    FY2019 changes

Nearest Codes in This Family

Official ICD-10-CM classifications closest to R93.811 in its code family, with their registry titles.

View all codes in the R93 family