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v1.0.0
ICD-10 Guide
ICD-10 CodesR79.82

R79.82

Elevated C-reactive protein (CRP)

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

Code Description

ICD-10 R79.82 is a billable code used to indicate a diagnosis of elevated c-reactive protein (crp).

Key Diagnostic Point:

Elevated C-reactive protein (CRP) is a laboratory finding indicating increased levels of CRP in the blood, which is a marker of inflammation. CRP is produced by the liver in response to inflammatory cytokines, particularly interleukin-6 (IL-6). Elevated CRP levels can be indicative of various conditions, including infections, autoimmune diseases, and chronic inflammatory states. Clinically, CRP is often used to assess the severity of inflammation and monitor treatment responses. Symptoms associated with elevated CRP may vary widely depending on the underlying cause, but common presentations include fever, malaise, and localized pain or swelling. It is important to note that CRP is a non-specific marker; thus, elevated levels alone do not provide a definitive diagnosis but rather signal the need for further investigation to identify the underlying etiology.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Non-specific nature of CRP elevation
  • Variety of underlying conditions that can cause elevated CRP
  • Need for correlation with clinical findings and other diagnostic tests
  • Potential for misinterpretation without comprehensive documentation

Audit Risk Factors

  • Inadequate documentation of the clinical context for elevated CRP
  • Failure to link CRP elevation to a specific diagnosis
  • Misuse of the code in the absence of supporting lab results
  • Inconsistent reporting of CRP levels across different encounters

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the reason for CRP testing, clinical findings, and any relevant history that may explain the elevation.

Common Clinical Scenarios

Patients presenting with unexplained fever, joint pain, or signs of infection.

Billing Considerations

Ensure that the clinical picture supports the need for CRP testing and that any underlying conditions are documented.

Emergency Medicine

Documentation Requirements

Acute care documentation should detail the patient's presenting symptoms, the rationale for CRP testing, and any immediate interventions.

Common Clinical Scenarios

Patients with acute infections, sepsis, or inflammatory conditions requiring urgent care.

Billing Considerations

In emergency settings, rapid assessment and documentation are crucial to support the use of R79.82.

Coding Guidelines

Inclusion Criteria

Use R79.82 When
  • Follow official ICD
  • CM coding guidelines, ensuring that R79
  • 82 is used in conjunction with a definitive diagnosis when possible
  • Document the clinical rationale for testing and any relevant findings that support the elevated CRP

Exclusion Criteria

Do NOT use R79.82 When
No specific exclusions found.

Related CPT Codes

86140CPT Code

C-reactive protein (CRP) test

Clinical Scenario

Used when CRP levels are assessed in conjunction with clinical symptoms of inflammation.

Documentation Requirements

Document the reason for the CRP test and any relevant clinical findings.

Specialty Considerations

In internal medicine, ensure correlation with chronic disease management; in emergency medicine, document acute presentations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal lab findings, including elevated CRP. This specificity aids in better tracking of inflammatory conditions and improves the accuracy of clinical data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal lab findings, including elevated CRP. This specificity aids in better tracking of inflammatory conditions and improves the accuracy of clinical data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal lab findings, including elevated CRP. This specificity aids in better tracking of inflammatory conditions and improves the accuracy of clinical data.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What does an elevated CRP indicate?

An elevated CRP indicates the presence of inflammation in the body, which can be due to various conditions such as infections, autoimmune diseases, or chronic inflammatory states.

Can CRP levels be normal in the presence of disease?

Yes, CRP levels can be normal in some patients with active disease, particularly in chronic conditions where inflammation may not be reflected in CRP levels.