ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R91

Non-Billable Header

Abnormal findings on diagnostic imaging of lung

R91
Block
0
Synonyms
0
LCDs
0
Payer Policies
1
Linked CPTs

About ICD-10-CM R91

ICD-10-CM code R91 represents Abnormal findings on diagnostic imaging of lung. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R91). The 2026 edition of ICD-10-CM R91 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Medicare LCD Coverage for R91

Local Coverage Determinations (LCDs) from CMS MACs that list R91 as a covered diagnosis.

No Medicare LCDs reference R91 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R91.

No commercial payer policies reference R91 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R91 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with R91

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 71020 Chest X-ray for respiratory symptoms Internal Medicine

ICD-10 R91, Billing FAQ

Is ICD-10 code R91 billable? +

No, R91 is a non-billable header code. Use a more specific child code from block R91 when submitting claims.

What CPT codes are commonly billed with R91? +

Procedures frequently paired with R91 include: 71020.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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