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

ICD-10 R91.8

Billable / Specific

Other nonspecific abnormal finding of lung field

R91
Block
3
Synonyms
94
LCDs
15
Payer Policies
3
Linked CPTs

About ICD-10-CM R91.8

ICD-10-CM code R91.8 represents Other nonspecific abnormal finding of lung field. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R91). The 2026 edition of ICD-10-CM R91.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R91.8. Per CMS ICD-10-CM Tabular 2026.

  • Lung mass NOS found on diagnostic imaging of lung
  • Pulmonary infiltrate NOS
  • Shadow, lung

Medicare LCD Coverage for R91.8

Local Coverage Determinations (LCDs) from CMS MACs that list R91.8 as a covered diagnosis.

94 LCDs

Showing top 10 of 94 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R91.8.

15 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Respiratory Therapy (Respiratory Care)
Policy ID: ART-56717
Billing and Coding: BDX-XL2
Policy ID: ART-56929
Billing and Coding: Oximetry Services
Policy ID: ART-57205

3 Aetna

Tuberculosis Testing
Policy ID: CPB-0471
Lung Imaging: Selected Techniques
Policy ID: CPB-0581
Electromagnetic Navigation-Guided Bronchoscopy
Policy ID: CPB-0776

CPT Codes Commonly Billed with R91.8

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

3 linkages
  • 71046 Chest X-ray 2 views — cough, dyspnea, wheezing, chest pain, pneumonia, COPD exacerbation, asthma exacerbation, respiratory failure, lung nodule, pneumothorax, heart failure, hx pneumonia, TB, hypoxemia Radiology
  • 71250 CT chest without contrast — pulmonary nodule, lung mass, lung cancer, pulmonary mets, chronic cough, dyspnea, pneumothorax, PE, lung disease, hx lung cancer, bronchial neoplasm Radiology
  • 0080U CMS LCD: Billing and Coding: BDX-XL2 CMS LCD

Convert R91.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R91.8 79319 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R91.8, Billing FAQ

Is ICD-10 code R91.8 billable? +

Yes, R91.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R91.8? +

ICD-10 R91.8 includes: Lung mass NOS found on diagnostic imaging of lung; Pulmonary infiltrate NOS; Shadow, lung.

What CPT codes are commonly billed with R91.8? +

Procedures frequently paired with R91.8 include: 71046, 71250, 0080U.

What ICD-9 codes does R91.8 map to? +

Per CMS GEMs, R91.8 maps to ICD-9 codes: 79319. Useful for legacy data review and historical claim analysis.

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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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