ICD-10 Coding for C-Reactive Protein Screening(R79.82, Z13.6)
Complete ICD-10-CM coding and documentation guide for C-Reactive Protein Screening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to C-Reactive Protein Screening
R70-R79Primary Range
Abnormal findings on examination of blood, without diagnosis
This range includes codes for abnormal blood test results, including elevated CRP.
Encounter for screening for other diseases and disorders
This range is relevant for coding screening encounters, including cardiovascular risk assessments using CRP.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R79.82 | Elevated C-reactive protein (CRP) | Use when CRP is elevated and linked to a specific condition. |
|
| Z13.6 | Encounter for screening for cardiovascular disorders | Use for screening encounters with documented risk factors. |
|
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 elevated C-reactive protein
Essential facts and insights about C-Reactive Protein Screening
Primary ICD-10-CM Codes for c reactive protein screening
Decision Criteria
clinical Criteria
- CRP level >0.9 mg/dL with documented inflammation
coding Criteria
- Sequence after primary diagnosis code
Applicable To
- Elevated CRP due to inflammation
Excludes
- Normal CRP levels
Clinical Validation Requirements
- CRP level >0.9 mg/dL
- Documented underlying condition causing inflammation
Code-Specific Risks
- Incorrectly using as a primary code
Coding Notes
- Ensure CRP levels and underlying conditions are documented.
Z13.6 - Encounter for screening for cardiovascular disorders
Use for screening encounters with documented risk factors.
Applicable To
- Screening for cardiovascular risk using CRP
Excludes
- Screening without risk factors
Clinical Validation Requirements
- Presence of 2+ cardiovascular risk factors
Coding Notes
Document risk factors clearly in the patient's record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for cardiovascular disorders
Z13.6Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting C-Reactive Protein Screening to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R79.82.
Impact
Clinical: Inadequate information for clinical decision-making., Regulatory: Potential for audit issues due to incomplete documentation., Financial: Risk of claim denials due to insufficient documentation.
Mitigation Strategy
Use templates that prompt for CRP values, Regular training on documentation standards
Impact
Reimbursement: Claims may be denied if R79.82 is used as primary., Compliance: Non-compliance with ICD-10 sequencing rules., Data Quality: Inaccurate representation of patient's condition.
Mitigation Strategy
Always pair R79.82 with a primary code for the underlying condition.
Impact
R79.82 used as a primary code without an underlying condition.
Mitigation Strategy
Educate coders on proper sequencing rules.
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 C-Reactive Protein Screening, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for C-Reactive Protein Screening
Use these documentation templates to ensure complete and accurate documentation for C-Reactive Protein Screening. These templates include all required elements for proper coding and billing.
CRP Screening in Rheumatology
Specialty: RheumatologyRequired Elements
- Patient symptoms
- CRP level and method
- Interpretation of results
- Link to underlying condition
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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