ICD-10 Coding for Elevated Creatine Phosphokinase(R74.8, M62.82)
Complete ICD-10-CM coding and documentation guide for Elevated Creatine Phosphokinase. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Creatine Phosphokinase
R70-R79Primary Range
Abnormal findings on examination of blood, without diagnosis
This range includes codes for abnormal levels of serum enzymes, including CPK.
Disorders of muscles
This range includes codes for muscle disorders that may cause elevated CPK.
Ischemic heart diseases
This range includes codes for myocardial infarction, which can cause elevated CPK.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R74.8 | Abnormal levels of other serum enzymes | Use when CPK is elevated without a definitive diagnosis. |
|
| M62.82 | Rhabdomyolysis | Use when rhabdomyolysis is confirmed with lab findings. |
|
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 creatine phosphokinase
Essential facts and insights about Elevated Creatine Phosphokinase
Primary ICD-10-CM Codes for elevated creatine phosphokinase
Decision Criteria
clinical Criteria
- CPK level documented without definitive diagnosis
documentation Criteria
- Exclusion of myocardial infarction or rhabdomyolysis
Clinical Validation Requirements
- Documented CPK level
- Exclusion of specific causes such as MI or rhabdomyolysis
Code-Specific Risks
- Misclassification if underlying cause is not ruled out
Coding Notes
- Ensure documentation specifies no definitive cause for CPK elevation.
M62.82 - Rhabdomyolysis
Use when rhabdomyolysis is confirmed with lab findings.
Applicable To
- Rhabdomyolysis with acute kidney injury
Excludes
- Traumatic rhabdomyolysis (T79.A-)
Clinical Validation Requirements
- CPK >5,000 U/L
- Presence of myoglobinuria
Coding Notes
Ensure documentation includes lab findings supporting rhabdomyolysis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long term (current) use of statins
Z79.82Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Creatine Phosphokinase to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R74.8.
Impact
Clinical: Potential misdiagnosis of cardiac event., Regulatory: Non-compliance with coding standards., Financial: Possible claim denials.
Mitigation Strategy
Always document exclusion of MI when CPK is elevated., Use templates to ensure comprehensive documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure MI is documented with troponin elevation before coding.
Impact
Incorrectly coding CPK elevation as myocardial infarction.
Mitigation Strategy
Ensure thorough documentation of exclusion criteria.
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 Creatine Phosphokinase, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Creatine Phosphokinase
Use these documentation templates to ensure complete and accurate documentation for Elevated Creatine Phosphokinase. These templates include all required elements for proper coding and billing.
Unexplained CPK elevation
Specialty: Internal MedicineRequired Elements
- CPK level
- Exclusion of specific causes
- Follow-up plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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