ICD-10 Coding for Elevated Aspartate Aminotransferase(R74.01)
Complete ICD-10-CM coding and documentation guide for Elevated Aspartate Aminotransferase. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Aspartate Aminotransferase
R70-R79Primary Range
Abnormal findings on examination of blood, without diagnosis
This range includes codes for abnormal blood chemistry findings, including elevated liver enzymes such as AST.
Key Information: ICD-10 code for elevated AST
Essential facts and insights about Elevated Aspartate Aminotransferase
Primary ICD-10-CM Code for elevated aspartate aminotransferase
Decision Criteria
clinical Criteria
- AST >40 U/L with no known cause
coding Criteria
- No definitive diagnosis established
documentation Criteria
- Documented exclusion of known causes
Applicable To
- Elevated AST
- Elevated ALT
Clinical Validation Requirements
- AST >40 U/L in adults
- No documented cause after initial workup
Code-Specific Risks
- Incorrect use when a definitive diagnosis exists
- Failure to document etiology when known
Coding Notes
- Ensure exclusion of known causes before using R74.01 as primary.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Right upper quadrant pain
R10.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Aspartate Aminotransferase to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R74.01.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure thorough documentation of all tests and exclusions., Use templates to guide comprehensive documentation.
Impact
Reimbursement: May affect DRG and reimbursement if used incorrectly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Use the specific diagnosis code as primary and R74.01 only if necessary to highlight enzyme elevation.
Impact
Using R74.01 as primary when a specific diagnosis exists.
Mitigation Strategy
Regular training on code selection and documentation requirements.
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 Elevated Aspartate Aminotransferase, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Aspartate Aminotransferase
Use these documentation templates to ensure complete and accurate documentation for Elevated Aspartate Aminotransferase. These templates include all required elements for proper coding and billing.
Unexplained AST elevation
Specialty: HepatologyRequired Elements
- AST level and reference range
- Duration of elevation
- Exclusion of known causes
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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