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v1.0.0
ICD-10 Guide
ICD-10 CodesR78.79

R78.79

Finding of abnormal level of heavy metals in blood

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R78.79 is a billable code used to indicate a diagnosis of finding of abnormal level of heavy metals in blood.

Key Diagnostic Point:

The ICD-10 code R78.79 is used to classify findings of abnormal levels of heavy metals in the blood that are not specified elsewhere. Heavy metals, such as lead, mercury, arsenic, and cadmium, can accumulate in the body and lead to various health issues. Symptoms may include neurological deficits, gastrointestinal disturbances, and renal impairment, depending on the specific metal and level of exposure. Laboratory findings typically involve blood tests that measure the concentration of these metals, often revealing elevated levels that necessitate further investigation. The clinical context for this code includes occupational exposure, environmental contamination, or ingestion of contaminated food or water. Accurate documentation of the patient's exposure history, symptoms, and laboratory results is essential for proper coding and management of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of heavy metals that can be involved
  • Need for detailed exposure history
  • Potential for multiple symptoms and findings
  • Differentiation from other toxicological findings

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to correlate symptoms with lab findings
  • Misclassification of the type of heavy metal involved
  • Lack of follow-up documentation for treatment

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Comprehensive patient history, including occupational and environmental exposure, and detailed lab results.

Common Clinical Scenarios

Patients presenting with nonspecific symptoms such as fatigue, headache, or gastrointestinal issues, prompting testing for heavy metals.

Billing Considerations

Consideration of comorbid conditions that may affect the interpretation of lab results.

Emergency Medicine

Documentation Requirements

Acute care documentation including immediate lab results and any interventions performed.

Common Clinical Scenarios

Acute presentations of heavy metal poisoning, such as lead or mercury toxicity, requiring rapid assessment and treatment.

Billing Considerations

Timeliness of documentation is critical in emergency settings to ensure proper coding and billing.

Coding Guidelines

Inclusion Criteria

Use R78.79 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the abnormal level of heavy metals is documented and not classified elsewhere
  • Ensure that the clinical significance of the findings is clearly documented

Exclusion Criteria

Do NOT use R78.79 When
No specific exclusions found.

Related CPT Codes

83655CPT Code

Lead, blood

Clinical Scenario

Used when testing for lead levels in patients suspected of lead exposure.

Documentation Requirements

Document the reason for testing and any relevant exposure history.

Specialty Considerations

Internal medicine and pediatrics often order this test.

83735CPT Code

Mercury, blood

Clinical Scenario

Used when testing for mercury levels in patients with potential mercury exposure.

Documentation Requirements

Document symptoms and exposure history to justify testing.

Specialty Considerations

Common in toxicology and emergency medicine.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of heavy metal findings, improving the accuracy of diagnoses and treatment plans. R78.79 provides a broader classification for abnormal findings that were previously less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of heavy metal findings, improving the accuracy of diagnoses and treatment plans. R78.79 provides a broader classification for abnormal findings that were previously less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement and compliance with coding standards.

Resources

Clinical References

  • •
    CDC - Heavy Metals Toxicity
  • •
    ATSDR - Toxic Substances Portal

Coding & Billing References

  • •
    CDC - Heavy Metals Toxicity
  • •
    ATSDR - Toxic Substances Portal

Frequently Asked Questions

What should be documented to support the use of R78.79?

Documentation should include the patient's exposure history, symptoms, and specific laboratory results indicating abnormal levels of heavy metals.

Can R78.79 be used for all heavy metals?

Yes, R78.79 is a general code for abnormal levels of heavy metals not classified elsewhere, but specific codes should be used when the type of metal is known.