ICD-10 Coding for Hyperlactatemia(R74.02, R89.8, E87.2)
Complete ICD-10-CM coding and documentation guide for Hyperlactatemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperlactatemia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R74.02 | Elevated LDH | Use when LDH levels are elevated without mention of lactate. |
|
| R89.8 | Other abnormal findings of blood chemistry | Use for elevated lactate levels without acidosis. |
|
| E87.2 | Acidosis | Use for metabolic acidosis with elevated lactate. |
|
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 hyperlactatemia
Essential facts and insights about Hyperlactatemia
Primary ICD-10-CM Codes for hyperlactatemia
Decision Criteria
clinical Criteria
- LDH levels must be documented as elevated.
Applicable To
- LDHemia
Excludes
- Hyperlactatemia without LDH elevation
Clinical Validation Requirements
- LDH > 280 U/L (adults)
Code-Specific Risks
- Misuse for elevated lactate without LDH elevation.
Coding Notes
- Ensure documentation specifies LDH elevation.
R89.8 - Other abnormal findings of blood chemistry
Use for elevated lactate levels without acidosis.
Applicable To
- Hyperlactatemia
Excludes
- Lactic acidosis (E87.2)
Clinical Validation Requirements
- Lactate ≥2 mmol/L
Coding Notes
Ensure lactate levels are documented.
E87.2 - Acidosis
Use for metabolic acidosis with elevated lactate.
Applicable To
- Lactic acidosis
Excludes
- Hyperlactatemia without acidosis
Clinical Validation Requirements
- Lactate ≥4 mmol/L
- pH <7.35
Coding Notes
Ensure documentation includes both lactate and pH levels.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperlactatemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R74.02.
Impact
Clinical: Inaccurate clinical assessment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure lab results are included in documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R89.8 for elevated lactate without LDH elevation.
Impact
Failure to document specific lactate levels can lead to audit issues.
Mitigation Strategy
Implement routine checks for lab result documentation.
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 Hyperlactatemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperlactatemia
Use these documentation templates to ensure complete and accurate documentation for Hyperlactatemia. These templates include all required elements for proper coding and billing.
ICU Admission for Septic Shock
Specialty: Critical CareRequired Elements
- Lactate levels
- pH levels
- Underlying cause
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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