October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

R94 Abnormal results of function studies

All 23 codes in the R94 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

23

Can lead a claim

0

Cannot lead a claim

23

What CMS assigns to R94

None of the 23 codes is assigned a clinical group. None of the 23 is assigned a comorbidity subgroup. None can lead a claim.

Every code in R94

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R94.0 Abnormal results of function studies of central nervous system
R94.01Abnormal electroencephalogram [EEG]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.02Abnormal brain scanCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.09Abnormal results of other function studies of central nervous systemCMS: Abnormal results of function studies of cnslCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.1 Abnormal results of function studies of peripheral nervous system and special senses
R94.11 Abnormal results of function studies of eye
R94.110Abnormal electro-oculogram [EOG]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.111Abnormal electroretinogram [ERG]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.112Abnormal visually evoked potential [VEP]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.113Abnormal oculomotor studyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.118Abnormal results of other function studies of eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.12 Abnormal results of function studies of ear and other special senses
R94.120Abnormal auditory function studyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.121Abnormal vestibular function studyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.128Abnormal results of other function studies of ear and other special sensesCMS: Abn results of function studies of ear and oth sp sensesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.13 Abnormal results of function studies of peripheral nervous system
R94.130Abnormal response to nerve stimulation, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.131Abnormal electromyogram [EMG]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.138Abnormal results of other function studies of peripheral nervous systemCMS: Abnormal results of function studies of prph nervous sysCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.2Abnormal results of pulmonary function studiesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.3 Abnormal results of cardiovascular function studies
R94.30Abnormal result of cardiovascular function study, unspecifiedCMS: Abnormal result of cardiovascular function study, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.31Abnormal electrocardiogram [ECG] [EKG]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.39Abnormal result of other cardiovascular function studyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.4Abnormal results of kidney function studiesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.5Abnormal results of liver function studiesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.6Abnormal results of thyroid function studiesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.7Abnormal results of other endocrine function studiesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R94.8Abnormal results of function studies of other organs and systemsCMS: Abnormal results of function studies of organs and systemsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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