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ICD-10 Coding for Abnormal Blood Chemistry(R79.89)

Complete ICD-10-CM coding and documentation guide for Abnormal Blood Chemistry. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Abnormal Blood Test ResultsIrregular Blood Chemistry

Related ICD-10 Code Ranges

Complete code families applicable to Abnormal Blood Chemistry

R70-R79Primary Range

Abnormal findings on examination of blood, without diagnosis

This range includes codes for various abnormal blood chemistry findings, including R79.89.

Key Information: ICD-10 code for abnormal blood chemistry

Essential facts and insights about Abnormal Blood Chemistry

The ICD-10 code R79.89 is used for other specified abnormal findings of blood chemistry, applicable when specific abnormalities are documented.

Primary ICD-10-CM Code for abnormal blood chemistry

Other specified abnormal findings of blood chemistry
Billable Code

Decision Criteria

clinical Criteria

  • Abnormal lab values that are not explained by a more specific condition

documentation Criteria

  • Presence of specific lab values and physician's note on significance

Applicable To

  • Elevated CRP without infection
  • Abnormal amino acid panel
  • Unexplained azotemia

Excludes

Clinical Validation Requirements

  • Quantitative lab results
  • Physician interpretation
  • Clinical correlation

Code-Specific Risks

  • Using R79.89 when a more specific code exists
  • Lack of detailed lab results in documentation

Coding Notes

  • Ensure documentation includes specific lab values and physician interpretation.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Acidosis

E87.2
Use when acidosis is present alongside abnormal blood chemistry.

Chronic kidney disease, unspecified

N18.9
Use when CKD is present with abnormal blood chemistry.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Abnormal level of blood minerals

R79.0
Use R79.0 for specific mineral abnormalities like hypermagnesemia.

Abnormal coagulation profile

R79.1
Use R79.1 for abnormal coagulation test results.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Abnormal Blood Chemistry to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R79.89.

Impact

Clinical: May lead to misinterpretation of patient condition., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials due to lack of specificity.

Mitigation Strategy

Ensure detailed lab results are documented, Include clinical interpretation

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Code R77.8 for elevated troponin per Coding Clinic guidance.

Impact

Using R79.89 when a more specific code is available.

Mitigation Strategy

Ensure documentation supports the specificity of the code used.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Abnormal Blood Chemistry, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Abnormal Blood Chemistry

Use these documentation templates to ensure complete and accurate documentation for Abnormal Blood Chemistry. These templates include all required elements for proper coding and billing.

Nephrology assessment with abnormal blood chemistry

Specialty: Nephrology

Required Elements

  • Lab results with specific values
  • Clinical interpretation
  • Plan for follow-up

Example Documentation

Assessment: Unexplained hyperphosphatemia (6.2 mg/dL) - R79.89. Plan: Repeat chemistry panel in 72h.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Abnormal blood work noted. Follow up needed.
Good Documentation Example
Chem 7 shows: Sodium 129 mEq/L, Chloride 98 mEq/L, CO2 18 mEq/L. Findings consistent with metabolic acidosis of unclear etiology. R79.89 documented.
Explanation
The good example includes specific lab values and clinical interpretation, supporting the use of R79.89.

Need help with ICD-10 coding for Abnormal Blood Chemistry? Ask your questions below.

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