ICD-10 Coding for Increased C-Reactive Protein(R79.82)
Complete ICD-10-CM coding and documentation guide for Increased C-Reactive Protein. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Increased C-Reactive Protein
R70-R79Primary Range
Abnormal findings on examination of blood, without diagnosis
This range includes codes for abnormal blood test results, including elevated CRP.
Key Information: ICD-10 code for increased CRP
Essential facts and insights about Increased C-Reactive Protein
Primary ICD-10-CM Code for increased c-reactive protein
Decision Criteria
clinical Criteria
- CRP level above normal range with no specific diagnosis
documentation Criteria
- Lack of specific diagnosis for elevated CRP
Applicable To
- Elevated CRP levels
Excludes
- CRP elevation due to specific conditions like infections or autoimmune diseases
Clinical Validation Requirements
- CRP level >0.9 mg/dL
- Documentation of test methodology (e.g., nephelometry)
Code-Specific Risks
- Using R79.82 as a primary code
- Lack of documentation linking CRP to a specific condition
Coding Notes
- Always document the underlying cause of CRP elevation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Rheumatoid arthritis with CRP elevation
M05.79Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Increased C-Reactive Protein 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 clinical assessment, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Always include CRP level in lab results, Ensure correlation with clinical findings
Impact
Reimbursement: Claims may be denied if R79.82 is used as a primary code., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Ensure a primary code for the underlying condition is used first.
Impact
Lack of specific documentation linking CRP to a condition.
Mitigation Strategy
Ensure all CRP elevations are linked to a documented clinical condition.
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 Increased C-Reactive Protein, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Increased C-Reactive Protein
Use these documentation templates to ensure complete and accurate documentation for Increased C-Reactive Protein. These templates include all required elements for proper coding and billing.
Rheumatology Assessment
Specialty: RheumatologyRequired Elements
- CRP level with units
- Testing methodology
- Correlation with joint symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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