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ICD-10 Guide
ICD-10 CodesR77

R77

Other abnormalities of plasma proteins

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 R77 is a used to indicate a diagnosis of other abnormalities of plasma proteins.

Key Diagnostic Point:

The ICD-10 Level 1 Category code R77 pertains to other abnormalities of plasma proteins, which encompasses a variety of conditions that may affect the levels and functions of proteins found in blood plasma. These abnormalities can arise from various underlying health issues, including liver disease, kidney disorders, and certain malignancies. Clinically, abnormalities in plasma protein levels can indicate a range of pathological conditions, such as hypoalbuminemia, hyperglobulinemia, or dysproteinemia, which may require further investigation to determine the underlying cause and appropriate treatment. Understanding these conditions is essential for healthcare providers as they can significantly impact patient management and treatment plans.

  • The clinical significance of R77 lies in its ability to help clinicians identify and classify patients with abnormal plasma protein levels. This category is crucial for diagnosing conditions that may not have specific codes but still require attention for effective patient care. Usage guidelines suggest that R77 should be applied when laboratory tests reveal abnormalities in plasma protein levels, and further investigation is warranted. Proper coding ensures accurate documentation, which is vital for patient safety, treatment efficacy, and healthcare reimbursement processes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in underlying conditions
  • Need for comprehensive lab results
  • Potential for overlapping symptoms with other codes

Audit Risk Factors

  • Inadequate documentation of lab results
  • Misinterpretation of plasma protein abnormalities
  • Failure to link symptoms with underlying conditions

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Internal Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

5 codes
R77.0
Abnormality of albumin
R77.1
Abnormality of globulin
R77.2
Abnormality of alphafetoprotein
R77.8
Other specified abnormalities of plasma proteins
R77.9
Abnormality of plasma protein, unspecified

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the R77 code category is significant, as it plays a crucial role in the identification and management of patients with plasma protein abnormalities. These conditions can affect a patient's overall health status and may require multidisciplinary approaches for effective treatment. By accurately coding R77, healthcare providers can ensure that patients receive the necessary interventions, which can lead to improved health outcomes and quality of care.
From an administrative perspective, proper use of R77 codes can influence healthcare trends and population health management strategies. Tracking the prevalence of plasma protein abnormalities can help healthcare organizations identify at-risk populations and implement targeted interventions. Furthermore, accurate coding contributes to quality measures and performance metrics, which are increasingly important in value-based care models, ultimately enhancing the efficiency and effectiveness of healthcare delivery.

ICD-9 vs ICD-10

The clinical and administrative impact of the R77 code category is significant, as it plays a crucial role in the identification and management of patients with plasma protein abnormalities. These conditions can affect a patient's overall health status and may require multidisciplinary approaches for effective treatment. By accurately coding R77, healthcare providers can ensure that patients receive the necessary interventions, which can lead to improved health outcomes and quality of care. From an administrative perspective, proper use of R77 codes can influence healthcare trends and population health management strategies. Tracking the prevalence of plasma protein abnormalities can help healthcare organizations identify at-risk populations and implement targeted interventions. Furthermore, accurate coding contributes to quality measures and performance metrics, which are increasingly important in value-based care models, ultimately enhancing the efficiency and effectiveness of healthcare delivery.

Reimbursement & Billing Impact

Reimbursement may depend on the documentation of the underlying conditions that led to the plasma protein abnormalities. It is essential to provide comprehensive clinical notes that justify the use of R77 codes, as payers may require detailed information to process claims. Additionally, understanding the nuances of billing for laboratory tests associated with plasma protein analysis can aid in minimizing denials and ensuring proper reimbursement.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for R77

Coding & Billing References

  • •
    Official ICD-10 Guidelines for R77

Frequently Asked Questions

What conditions are included in R77?

R77 includes conditions such as hypoalbuminemia, hyperglobulinemia, and dysproteinemia, which are characterized by abnormal levels of plasma proteins that may indicate underlying health issues.

When should I use R77 codes?

R77 codes should be used when laboratory tests indicate abnormalities in plasma protein levels that require further investigation or management, particularly when these abnormalities are not classified under more specific codes.

What documentation is required for R77?

Documentation for R77 should include laboratory test results showing abnormal plasma protein levels, clinical findings that support the diagnosis, and any relevant patient history that may contribute to the understanding of the condition.