R94.5 — Abnormal results of liver function studies

Billable

Is R94.5 billable?

Yes — R94.5 is billable for FY2027. R94.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R94.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.

R94.5 at a glance

Code	R94.5
Description	Abnormal results of liver function studies
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does R94.5 group to?

R94.5 sits in MDC 07 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

441Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCCmedical
442Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CCmedical
443Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCCmedical

How is R94.5 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to R94.5. They show the wording a clinician may have documented, which often differs from the Tabular description.

Abnormal, abnormality, abnormalities › function studies › liver
Elevated, elevation › liver function › study
Findings, abnormal, inconclusive, without diagnosis › function study NEC › liver

Excludes1 — never code together — inherited from R90-R94

The conditions below can never be reported together with R94.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

abnormal findings on antenatal screening of mother (O28.-)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index

Excludes2 — not included here — inherited from Chapter 18

The conditions below are not part of R94.5, but a patient may have both at the same time. When documentation supports it, R94.5 and the excluded code may both be reported.

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

How long has R94.5 existed?

R94.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.