Abnormal findings on dx imaging of liver and biliary tract

This code signifies the presence of unusual or unexpected findings identified during imaging studies (e.g., ultrasound, CT, MRI) of the liver, gallbladder, bile ducts, or other components of the biliary system. These findings are not yet definitively diagnosed as a specific disease but warrant further investigation or monitoring.

This code is appropriate when imaging reports indicate abnormalities such as hepatic lesions, gallbladder polyps, biliary duct dilation, or other structural changes that are not yet characterized as a specific disease. It is used when the radiologist's impression suggests an abnormality requiring follow-up, but a definitive diagnosis is not provided.

• Do not use this code if a definitive diagnosis for the abnormal finding is established (e.g., hepatocellular carcinoma, cholelithiasis).
• Sequence this code as a primary diagnosis when the abnormal finding is the reason for the encounter, or as a secondary diagnosis when it's an incidental finding requiring follow-up.
• Ensure the documentation clearly states "abnormal findings," "lesion," "mass," "dilation," or similar non-specific terms in the liver or biliary tract, without a specific pathological diagnosis.