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ICD-10 Guide
ICD-10 CodesR82.99

R82.99

Other abnormal findings in urine

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

Code Description

ICD-10 R82.99 is a billable code used to indicate a diagnosis of other abnormal findings in urine.

Key Diagnostic Point:

R82.99 is used to classify other abnormal findings in urine that do not fall under more specific categories. This code encompasses a variety of abnormal laboratory results that may indicate underlying health issues. Common findings may include the presence of abnormal substances such as proteins, glucose, ketones, or blood in the urine, which can suggest conditions ranging from urinary tract infections (UTIs) to metabolic disorders. The clinical significance of these findings often necessitates further investigation to determine the underlying cause. For instance, proteinuria may indicate kidney disease, while hematuria could suggest urinary tract injury or malignancy. Accurate coding requires a thorough understanding of the patient's clinical context and the specific abnormal findings documented in the lab results. It is essential for coders to ensure that the findings are not classified under more specific codes to avoid misrepresentation of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions represented by the code.
  • Need for precise documentation of lab findings.
  • Differentiation from more specific codes that may apply.
  • Potential for overlapping symptoms with other diagnoses.

Audit Risk Factors

  • Inadequate documentation of the specific abnormal findings.
  • Failure to link findings to a definitive diagnosis.
  • Misuse of the code when more specific codes are applicable.
  • Inconsistent reporting of lab results across different encounters.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed lab results, patient history, and any follow-up actions taken.

Common Clinical Scenarios

Patients presenting with nonspecific symptoms such as fatigue or weight loss, with abnormal urinalysis results.

Billing Considerations

Ensure that all abnormal findings are clearly documented and linked to the patient's clinical picture.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute abdominal pain or hematuria requiring urgent evaluation.

Billing Considerations

Rapid assessment and documentation of findings are crucial for accurate coding in emergency settings.

Coding Guidelines

Inclusion Criteria

Use R82.99 When
  • Coders should refer to the official ICD
  • CM guidelines, ensuring that the code is used only when the findings are not classified elsewhere
  • Documentation must support the use of this code, including the specific abnormal findings and their clinical significance

Exclusion Criteria

Do NOT use R82.99 When
No specific exclusions found.

Related CPT Codes

81002CPT Code

Urinalysis, automated, with microscopy.

Clinical Scenario

Used when abnormal findings are identified in a urinalysis.

Documentation Requirements

Document the specific findings and any follow-up actions.

Specialty Considerations

Ensure that the urinalysis results are clearly linked to the patient's clinical presentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of abnormal findings, improving the specificity of diagnoses and enhancing the ability to track health trends and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of abnormal findings, improving the specificity of diagnoses and enhancing the ability to track health trends and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of abnormal findings, improving the specificity of diagnoses and enhancing the ability to track health trends and outcomes.

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

When should I use R82.99?

Use R82.99 when you encounter abnormal findings in urine that do not fit into more specific categories. Ensure that the findings are well-documented and linked to the patient's clinical context.