ICD-10 Coding for Abnormal Urine Test(R82.0, R82.1, R82.5, R82.998)
Complete ICD-10-CM coding and documentation guide for Abnormal Urine Test. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Abnormal Urine Test
R82Primary Range
Other abnormal findings in urine
This range includes codes for various abnormal findings in urine, such as chyluria, myoglobinuria, and others.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R82.0 | Chyluria | Use when urine appears milky and chylomicrons are confirmed. |
|
| R82.1 | Myoglobinuria | Use when myoglobin is present in urine, often due to muscle injury. |
|
| R82.5 | Abnormal findings on microbiological examination of urine | Use for abnormal microbiological findings, including drug screens. |
|
| R82.998 | Other abnormal findings in urine | Use when no specific abnormality is identified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for abnormal urine test
Essential facts and insights about Abnormal Urine Test
Primary ICD-10-CM Codes for abnormal urine test
Decision Criteria
clinical Criteria
- Milky urine appearance with confirmed chylomicrons
Applicable To
- Milky urine with chylomicrons
Excludes
- Filariasis (B55.9)
Clinical Validation Requirements
- Lipid electrophoresis confirming chylomicrons
Code-Specific Risks
- Misidentification of urine appearance without confirmatory testing
Coding Notes
- Ensure lipid electrophoresis is documented.
R82.1 - Myoglobinuria
Use when myoglobin is present in urine, often due to muscle injury.
Applicable To
- Dark brown urine with elevated CK
Excludes
- Traumatic myoglobinuria (T79.5XXA)
Clinical Validation Requirements
- CK >5,000 U/L with recent crush injury
Coding Notes
Document CK levels and injury details.
R82.5 - Abnormal findings on microbiological examination of urine
Use for abnormal microbiological findings, including drug screens.
Applicable To
- Positive urine drug screen
Excludes
- Specific substance use disorder codes
Clinical Validation Requirements
- Quantitative level >500 ng/mL for substances
Coding Notes
Ensure quantitative levels are documented.
R82.998 - Other abnormal findings in urine
Use when no specific abnormality is identified.
Applicable To
- Cloudy urine with abnormal odor
Excludes
- Specific abnormal findings with known etiology
Clinical Validation Requirements
- Normal microscopy and culture
Coding Notes
Document ruling out specific findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Myoglobinuria
R82.1Chyluria
R82.0Other abnormal findings in urine
R82.998Abnormal findings on microbiological examination of urine
R82.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Abnormal Urine Test to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R82.0.
Impact
Clinical: May lead to misinterpretation of results., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always include test method in documentation., Use templates to ensure completeness.
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Use specific codes like R82.0 or R82.1 when applicable.
Impact
High risk of audits when using unspecified codes like R82.9.
Mitigation Strategy
Use specific codes whenever possible.
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 Urine Test, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Abnormal Urine Test
Use these documentation templates to ensure complete and accurate documentation for Abnormal Urine Test. These templates include all required elements for proper coding and billing.
Urinalysis for suspected drug use
Specialty: ToxicologyRequired Elements
- Substance name
- Test method
- Quantitative level
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Abnormal Urine Test? Ask your questions below.