Other abnormal findings on cytological and histological examination of urine
ICD-10 R82.89 is a billable code used to indicate a diagnosis of other abnormal findings on cytological and histological examination of urine.
R82.89 is used to classify abnormal findings identified during cytological and histological examinations of urine that do not fall under more specific codes. These findings may include atypical cells, inflammatory cells, or other cellular abnormalities that suggest underlying pathology. Such abnormalities can indicate a range of conditions, from benign processes to malignancies. The examination of urine cytology is often performed to evaluate for urinary tract infections, bladder cancer, or other urological disorders. The interpretation of these findings requires careful correlation with clinical symptoms, patient history, and additional diagnostic tests to establish a definitive diagnosis and appropriate treatment plan.
Detailed patient history, clinical findings, and results of cytological examinations.
Evaluation of hematuria, urinary tract infections, or unexplained urinary symptoms.
Ensure that all abnormal findings are clearly documented and linked to the patient's clinical picture.
Acute care notes, including presenting symptoms and immediate lab results.
Acute hematuria or urinary retention with abnormal cytology findings.
Rapid assessment and documentation are crucial; ensure that all findings are captured promptly.
Used when cytological examination is performed on urine samples.
Document the type of specimen and findings.
Ensure that the procedure is linked to the diagnosis of abnormal findings.
R82.89 should be used when there are abnormal findings on cytological or histological examination of urine that do not fall under more specific codes. Ensure that the findings are well-documented and linked to clinical symptoms.
