Chyluria
ICD-10 R82.0 is a billable code used to indicate a diagnosis of chyluria.
Chyluria is a condition characterized by the presence of chyle in the urine, which gives it a milky appearance. This abnormal finding is typically due to lymphatic obstruction or leakage, often resulting from conditions such as filariasis, trauma, or malignancies affecting the lymphatic system. Patients may present with symptoms such as flank pain, hematuria, or urinary frequency. The milky urine can be a significant diagnostic clue, and laboratory analysis may reveal elevated triglycerides in the urine. Chyluria can lead to complications such as renal impairment or infections due to the altered urinary environment. Accurate diagnosis often requires imaging studies, such as ultrasound or CT scans, to identify underlying causes of lymphatic obstruction. Treatment focuses on addressing the underlying condition and may include dietary modifications, surgical intervention, or management of infections.
Detailed history of symptoms, lab results, and imaging studies.
Patients presenting with unexplained milky urine and associated symptoms.
Ensure all relevant diagnostic tests are documented to support the diagnosis.
Acute assessment of symptoms, including vital signs and immediate lab results.
Patients presenting with acute flank pain and milky urine.
Rapid identification of potential complications and need for urgent imaging.
Used to evaluate for lymphatic obstruction in patients with chyluria.
Document the reason for the ultrasound and findings.
Ensure that the ultrasound findings are clearly linked to the diagnosis of chyluria.
Common causes include lymphatic obstruction due to infections like filariasis, trauma, malignancies, and congenital lymphatic malformations.
