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v1.0.0
ICD-10 Guide
ICD-10 CodesR82.2

R82.2

Biliuria

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

Code Description

ICD-10 R82.2 is a billable code used to indicate a diagnosis of biliuria.

Key Diagnostic Point:

Biliuria refers to the presence of bilirubin in the urine, which is an abnormal finding that can indicate various underlying conditions. Bilirubin is a yellow compound that is produced during the normal breakdown of red blood cells. Under normal circumstances, bilirubin is processed by the liver and excreted in bile. However, when there is an excess of bilirubin in the bloodstream, it can spill over into the urine, leading to biliuria. This condition is often associated with liver dysfunction, hemolytic anemia, or biliary obstruction. Clinically, patients may present with dark urine, which can be a key indicator of biliuria. Laboratory findings typically include elevated urine bilirubin levels, which can be detected through urinalysis. It is essential to differentiate biliuria from other causes of dark urine, such as hematuria or myoglobinuria, to ensure accurate diagnosis and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between biliuria and other causes of dark urine.
  • Understanding the underlying conditions that may lead to biliuria.
  • Interpreting laboratory results accurately.
  • Documenting the clinical context and symptoms associated with biliuria.

Audit Risk Factors

  • Inadequate documentation of the clinical findings leading to the diagnosis.
  • Failure to specify the underlying cause of biliuria.
  • Incorrect linkage of biliuria with unrelated diagnoses.
  • Lack of clarity in the patient's presenting symptoms.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history and physical examination findings, including any associated symptoms such as jaundice or abdominal pain.

Common Clinical Scenarios

Patients presenting with jaundice, dark urine, and elevated liver enzymes.

Billing Considerations

Consideration of liver function tests and imaging studies to determine the underlying cause.

Emergency Medicine

Documentation Requirements

Acute care documentation including vital signs, presenting symptoms, and immediate lab results.

Common Clinical Scenarios

Patients with acute abdominal pain and dark urine requiring rapid assessment.

Billing Considerations

Timely documentation of findings to facilitate urgent care decisions.

Coding Guidelines

Inclusion Criteria

Use R82.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and laboratory findings
  • Ensure that the code is used only when biliuria is confirmed through urinalysis

Exclusion Criteria

Do NOT use R82.2 When
No specific exclusions found.

Related CPT Codes

81002CPT Code

Urinalysis, automated, with microscopy

Clinical Scenario

Used when urinalysis is performed to confirm biliuria.

Documentation Requirements

Document the reason for urinalysis and any relevant clinical findings.

Specialty Considerations

Ensure that the urinalysis is linked to the clinical suspicion of biliuria.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of biliuria, improving the accuracy of diagnosis and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of biliuria, improving the accuracy of diagnosis and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of biliuria, improving the accuracy of diagnosis and treatment tracking.

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 is the primary cause of biliuria?

The primary cause of biliuria is often liver dysfunction, hemolytic anemia, or biliary obstruction, leading to excess bilirubin in the urine.