ICD-10 Coding for Rhabdomyolysis(M62.82, T79.6)
Complete ICD-10-CM coding and documentation guide for Rhabdomyolysis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Rhabdomyolysis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M62.82 | Rhabdomyolysis | Use for non-traumatic rhabdomyolysis unless a traumatic cause is documented. |
|
| T79.6 | Traumatic ischemia of muscle | Use when rhabdomyolysis is directly caused by trauma. |
|
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 rhabdomyolysis
Essential facts and insights about Rhabdomyolysis
Primary ICD-10-CM Codes for rhabdomyolysis
Decision Criteria
clinical Criteria
- CK levels and myoglobinuria presence
Applicable To
- Non-traumatic rhabdomyolysis
Excludes
- Traumatic rhabdomyolysis (T79.6)
Clinical Validation Requirements
- CK > 1,000 IU/L or 5x upper limit
- Myoglobinuria with documented treatment
Code-Specific Risks
- Incorrectly coding traumatic cases without documentation
Coding Notes
- Do not code myoglobinuria separately if rhabdomyolysis is already coded.
T79.6 - Traumatic ischemia of muscle
Use when rhabdomyolysis is directly caused by trauma.
Applicable To
- Traumatic rhabdomyolysis
Excludes
- Non-traumatic rhabdomyolysis (M62.82)
Clinical Validation Requirements
- Documentation of trauma as the cause
Coding Notes
Ensure trauma is explicitly documented as the cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute kidney injury, unspecified
N17.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Rhabdomyolysis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M62.82.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Always include CK levels in documentation.
Impact
Reimbursement: Incorrect DRG assignment may occur., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure trauma is explicitly documented as the cause of rhabdomyolysis.
Impact
Lack of explicit trauma documentation for T79.6
Mitigation Strategy
Ensure trauma is clearly documented as the cause.
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 Rhabdomyolysis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Rhabdomyolysis
Use these documentation templates to ensure complete and accurate documentation for Rhabdomyolysis. These templates include all required elements for proper coding and billing.
Rhabdomyolysis due to statin use
Specialty: Internal MedicineRequired Elements
- History of statin use
- CK levels
- Treatment details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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