ICD Code R01.1

ICD code R01.1 is a diagnosis used to indicate the presence of a cardiac murmur that has been detected but not further specified as to its type or cause.

1. Presence of an audible heart murmur detected during physical examination

2. Murmur not previously documented or characterized

3. Absence of a definitive diagnosis explaining the murmur at the time of encounter

4. No specific underlying cardiac pathology identified after initial assessment

5. Patient may be asymptomatic or present with non-specific symptoms such as fatigue or mild shortness of breath

6. Further evaluation or referral for cardiac assessment is indicated

Relevant CPT codes that may be used to treat or evaluate ICD code R01.1 include:

- 93306 – Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, complete, with spectral Doppler echocardiography and with color flow Doppler echocardiography

- 93307 – Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, complete, without spectral or color Doppler echocardiography

- 93308 – Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, follow-up or limited study

- 93000 – Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report

- 93010 – Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only

- 99202–99215 – Evaluation and management (E/M) office or other outpatient services (new or established patient, depending on visit complexity)

- 93451–93464 – Cardiac catheterization procedures (if further invasive evaluation is required)

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