This assignment is for someone who has experience in the medical field. (ICD10PCS ) (CPT Coding)
Description
Explain why this resource would be beneficial to a coder. (read the article below)
Abnormal findings in urine
ICD-10-CM/PCS Coding Clinic, Fourth Quarter ICD-10 2018 Pages: 29-30 Effective with discharges: October 1, 2018
Abnormal Findings in Urine
One of the most commonly used diagnostic tests for patients who form
kidney stones is a urine collection test looking for abnormal levels of certain
substances. When these abnormalities are identified, treatment can be started
to reduce the risk of future stone formation. The American Urological
Association (AUA) requested the creation of new codes for specific abnormal
findings in urine collection to help with research and public health. The new
codes are as follows:
Hypocitraturia (R82.991) – Low levels of citrate in the urine is usually
defined, as citrate excretion of less than 320 mg/day but in severe cases
can be less than 100 mg/day. Low citrate levels are a known risk factor for
kidney stone formation. Citrate inhibits stone formation by complexing
with calcium in the urine, inhibiting spontaneous nucleation, and preventing
growth and agglomeration of crystals. This condition is usually treated with
citrate medications.
Hyperoxaluria (R82.992) – Occurs when there is too much oxalate in the
urine. Oxalate is a natural chemical in the body and is found in certain types
of food. Hyperoxaluria can be caused by inherited (genetic) disorders, an
intestinal disease or eating too many oxalate-rich foods. Individuals with
hyperoxaluria often have calcium oxalate kidney stones. Treatment for these
patients may consist of dietary changes or medications.
Please note that there was already a code for hyperoxaluria (E72.53);
however, the descriptor for code E72.53, Hyperoxaluria, has been revised
to “Primary hyperoxaluria.” Code E72.53 is reserved specifically for a
childhood inborn error of metabolism, primary hyperoxaluria, which is
a diagnostic condition that can be determined by genetic testing. This is
different from someone who has an idiopathic or diet-induced mild elevation
of oxalate in the urine, who does not have the genetic inborn error of
metabolism.
Hyperuricoscuria (R82.993) – Is defined as high levels of uric acid in the
urine. Direct causes of hyperuricosuria include dissolution of uric acid
crystals in the kidneys or urinary bladder and hyperuricemia. Indirect causes
include uricosuric drugs, rapid breakdown of bodily tissues containing large
quantities of DNA and RNA, and a diet high in purine. Acute hyperuricosuria
is a common complication of tumor lysis syndrome. Chronic hyperuricosuria
is associated with gout and uric acid nephrolithiasis. This condition may
be treated with dietary measures and possible treatment of an underlying
condition.
Hypercalciuria (R82.994) – Patients with hypercalciuria have kidneys
that put out higher levels of calcium than normal. Chronic hypercalciuria
may lead to impairment of renal function, nephrocalcinosis, and renal
insufficiency. These patients may be treated with thiazide diuretics.
Code R82.998 describes other abnormal findings in urine.
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