Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
ICD-10 R74.0 is a billable code used to indicate a diagnosis of nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [ldh].
R74.0 refers to a nonspecific elevation of transaminases (such as AST and ALT) and lactic acid dehydrogenase (LDH) in the blood. These enzymes are typically released into the bloodstream when there is damage to liver cells or other tissues. The elevation of these enzymes can indicate a variety of conditions, including liver disease, muscle injury, hemolysis, and certain infections. However, the term 'nonspecific' indicates that the elevation does not point to a specific diagnosis and requires further investigation to determine the underlying cause. Clinicians often order additional tests, such as liver function tests, imaging studies, or specific serologies, to clarify the etiology of the enzyme elevation. Symptoms may vary widely depending on the underlying condition, ranging from asymptomatic findings to jaundice, fatigue, or abdominal pain. Accurate documentation of the clinical context and any associated symptoms is crucial for appropriate coding and management.
Detailed history and physical examination findings, including any associated symptoms and risk factors for liver disease.
Patients presenting with fatigue, abdominal discomfort, or incidental findings on routine blood tests.
Consideration of medication history, alcohol use, and potential viral hepatitis exposure.
Acute care documentation should include vital signs, presenting symptoms, and any immediate interventions performed.
Patients presenting with acute abdominal pain or altered mental status where liver function tests are part of the workup.
Rapid assessment of potential causes, including acute liver failure or hemolytic processes.
Used to assess liver function and detect enzyme elevations.
Document the reason for the metabolic panel and any relevant clinical findings.
Internal medicine may require more detailed documentation of risk factors.
R74.0 indicates a nonspecific elevation of transaminases and LDH, requiring further investigation to determine the underlying cause.
Use R74.0 when laboratory tests show elevated levels of transaminases and LDH without a specific diagnosis provided.
Common causes include liver disease, muscle injury, hemolysis, and certain infections. A thorough clinical evaluation is necessary to identify the specific cause.
Ensure that documentation clearly supports the nonspecific nature of the findings and that any additional tests or evaluations are noted.
