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

ICD-10 R93.5

Billable / Specific

Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum

R93
Block
0
Synonyms
183
LCDs
8
Payer Policies
2
Linked CPTs

About ICD-10-CM R93.5

ICD-10-CM code R93.5 represents Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R93). The 2026 edition of ICD-10-CM R93.5 became effective on October 1, 2025.

Medicare LCD Coverage for R93.5

Local Coverage Determinations (LCDs) from CMS MACs that list R93.5 as a covered diagnosis.

183 LCDs

Showing top 10 of 183 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8918 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R93.5.

8 policies

5 Medicare

Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Magnetic Resonance Angiography (MRA)
Policy ID: ART-56747
Billing and Coding: Magnetic Resonance Angiography
Policy ID: ART-56775

CPT Codes Commonly Billed with R93.5

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

2 linkages
  • 74177 CT abdomen/pelvis with contrast — abdominal pain, colon cancer staging, liver mets, cholelithiasis, pancreatitis, chronic pancreatitis, pancreatic cancer, hepatomegaly, splenomegaly, abnormal imaging Radiology
  • 74176 CT abdomen/pelvis without contrast — same indications as with contrast when contrast contraindicated Radiology

Convert R93.5 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R93.5 7936 10000

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

ICD-10 R93.5, Billing FAQ

Is ICD-10 code R93.5 billable? +

Yes, R93.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with R93.5? +

Procedures frequently paired with R93.5 include: 74177, 74176.

What ICD-9 codes does R93.5 map to? +

Per CMS GEMs, R93.5 maps to ICD-9 codes: 7936. 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 July 16, 2026.

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