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R91.8 ICD-10-CM Code: Other nonspecific abnormal finding of lung field

R91.8 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

R91.8

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other nonspecific abnormal finding of lung field

An unusual or abnormal finding on a chest X-ray or lung imaging that is not clearly identified as a specific disease or condition.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
R91Abnormal findings on diagnostic imaging of lung
R91.8Other nonspecific abnormal finding of lung field

Inclusion Terms

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

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for R91.8 in this effective period.

Related Child Codes

Official
R91.1Solitary pulmonary nodule

Includes

Official

ICD-10-CM does not list Includes notes for R91.8 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for R91.8 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for R91.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for R91.8 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for R91.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Describe the specific abnormality observed (infiltrate, opacity, etc.) in the medical record
Determine if additional imaging or clinical correlation is needed to clarify the finding

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is R91.8 an HCC code?

No. R91.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
R91.8
Description
Other nonspecific abnormal finding of lung field
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

R91.8 is the ICD-10-CM diagnosis code for other nonspecific abnormal finding of lung field. An unusual or abnormal finding on a chest X-ray or lung imaging that is not clearly identified as a specific disease or condition. R91.8 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering abnormal findings on diagnostic imaging and in function studies, without diagnosis (r90-r94).

R91.8 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Describe the specific abnormality observed (infiltrate, opacity, etc.) in the medical record.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R91.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Describe the specific abnormality observed (infiltrate, opacity, etc.) in the medical record
  • Determine if additional imaging or clinical correlation is needed to clarify the finding

Child Codes

Code Hierarchy

Work R91.8 in HCC Buddy

Open R91.8 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.