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

ICD-10 R94.7

Billable / Specific

Abnormal results of other endocrine function studies

R94
Block
0
Synonyms
1
LCDs
1
Payer Policies
1
Linked CPTs

About ICD-10-CM R94.7

ICD-10-CM code R94.7 represents Abnormal results of other endocrine function studies. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R94). The 2026 edition of ICD-10-CM R94.7 became effective on October 1, 2025.

Type 2 Excludes

Not included here, the excluded code is not part of R94.7, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • abnormal glucose (R73.0-)

Medicare LCD Coverage for R94.7

Local Coverage Determinations (LCDs) from CMS MACs that list R94.7 as a covered diagnosis.

1 LCDs

Showing top 1. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot)
Article ID: 56531, Effective: 2024-10-01 00:00:00, 72 covered, 0 non-covered
CPT J2353 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R94.7.

1 policies

1 Medicare

Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot)
Policy ID: ART-56531

CPT Codes Commonly Billed with R94.7

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

1 linkages
  • J2353 CMS LCD: Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot) CMS LCD

Convert R94.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R94.7 7946 00000

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

ICD-10 R94.7, Billing FAQ

Is ICD-10 code R94.7 billable? +

Yes, R94.7 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 2 Excludes for R94.7? +

Type 2 Excludes (may be coded together when both conditions exist): abnormal glucose (R73.0-)

What CPT codes are commonly billed with R94.7? +

Procedures frequently paired with R94.7 include: J2353.

What ICD-9 codes does R94.7 map to? +

Per CMS GEMs, R94.7 maps to ICD-9 codes: 7946. 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 June 1, 2026.

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