Hypocitraturia
ICD-10 R82.991 is a billable code used to indicate a diagnosis of hypocitraturia.
Hypocitraturia refers to a condition characterized by low levels of citrate in the urine. Citrate plays a crucial role in preventing the formation of kidney stones, particularly calcium stones, by binding to calcium and inhibiting crystallization. Patients with hypocitraturia may be asymptomatic or present with symptoms related to kidney stones, such as flank pain, hematuria, or urinary urgency. Laboratory findings typically reveal low urinary citrate levels, which can be assessed through a 24-hour urine collection. The condition can be associated with metabolic disorders, dietary factors, or certain medications. Common causes include renal tubular acidosis, chronic diarrhea, and high protein diets. Diagnosis involves a thorough clinical evaluation, including a detailed dietary history and metabolic assessment, to identify underlying causes and guide treatment. Treatment may involve dietary modifications, potassium citrate supplementation, or addressing the underlying metabolic disorder.
Detailed metabolic evaluation and dietary history must be documented, including any underlying conditions contributing to hypocitraturia.
Patients presenting with recurrent kidney stones or metabolic syndrome.
Consideration of comorbid conditions such as diabetes or chronic kidney disease that may influence citrate levels.
Acute presentation of flank pain or hematuria should be documented, along with any immediate lab findings.
Patients presenting with acute renal colic or urinary obstruction.
Rapid assessment of urinary findings and potential need for imaging studies.
Used to assess urinary abnormalities including citrate levels.
Document the reason for urinalysis and any relevant clinical findings.
Internal medicine may focus on metabolic causes, while emergency medicine may prioritize acute symptoms.
Hypocitraturia is a condition characterized by low levels of citrate in the urine, which can increase the risk of kidney stone formation.
Diagnosis typically involves a 24-hour urine collection to measure citrate levels, along with a metabolic evaluation to identify underlying causes.
Common causes include renal tubular acidosis, chronic diarrhea, high protein diets, and certain medications.
Treatment may involve dietary modifications, potassium citrate supplementation, and addressing any underlying metabolic disorders.
