ICD-10 R93.4
Non-Billable HeaderAbnormal findings on diagnostic imaging of urinary organs
About ICD-10-CM R93.4
ICD-10-CM code R93.4 represents Abnormal findings on diagnostic imaging of urinary organs. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R93). The 2026 edition of ICD-10-CM R93.4 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.
Type 2 Excludes
Not included here, the excluded code is not part of R93.4, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- hypertrophy of kidney (N28.81)
Medicare LCD Coverage for R93.4
Local Coverage Determinations (LCDs) from CMS MACs that list R93.4 as a covered diagnosis.
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 R93.4.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R93.4 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R93.4
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To R93.4
Other codes in section R90-R94 (Abnormal findings on diagnostic imaging and in function studies, without diagnosis).
ICD-10 R93.4, Billing FAQ
Is ICD-10 code R93.4 billable? +
No, R93.4 is a non-billable header code. Use a more specific child code from block R93 when submitting claims.
What codes are Type 2 Excludes for R93.4? +
Type 2 Excludes (may be coded together when both conditions exist): hypertrophy of kidney (N28.81)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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