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v1.0.0
ICD-10 Guide
ICD-10 CodesR82.994

R82.994

Hypercalciuria

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

Code Description

ICD-10 R82.994 is a billable code used to indicate a diagnosis of hypercalciuria.

Key Diagnostic Point:

Hypercalciuria is characterized by an elevated level of calcium in the urine, which can be indicative of various underlying conditions. This abnormal finding is often discovered during routine urinalysis or when patients present with symptoms such as kidney stones, abdominal pain, or urinary tract infections. The condition can lead to complications such as nephrocalcinosis or renal impairment if left untreated. Common causes of hypercalciuria include primary hyperparathyroidism, malignancies, excessive dietary calcium intake, and certain medications. The clinical significance of hypercalciuria lies in its potential to cause renal damage and its association with metabolic bone diseases. Diagnosis typically involves a 24-hour urine collection to quantify calcium excretion, alongside serum calcium and parathyroid hormone levels to determine the underlying etiology. Management strategies may include dietary modifications, hydration, and pharmacological interventions depending on the cause.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes requiring differential diagnosis
  • Need for specific laboratory tests to confirm diagnosis
  • Potential overlap with other renal conditions
  • Documentation of clinical context and symptoms

Audit Risk Factors

  • Inadequate documentation of symptoms leading to hypercalciuria
  • Failure to specify the underlying cause of hypercalciuria
  • Misinterpretation of lab results
  • Inconsistent coding of related renal conditions

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of symptoms, lab results, and any underlying conditions.

Common Clinical Scenarios

Patients presenting with recurrent kidney stones or unexplained renal dysfunction.

Billing Considerations

Ensure comprehensive documentation of dietary habits and medication history.

Emergency Medicine

Documentation Requirements

Acute presentation notes, including vital signs and immediate lab results.

Common Clinical Scenarios

Patients with acute flank pain or hematuria.

Billing Considerations

Document any immediate interventions and follow-up plans.

Coding Guidelines

Inclusion Criteria

Use R82.994 When
  • Follow ICD
  • CM guidelines for coding symptoms and abnormal findings, ensuring specificity in documentation and linking to underlying conditions when applicable

Exclusion Criteria

Do NOT use R82.994 When
No specific exclusions found.

Related CPT Codes

81000CPT Code

Urinalysis, automated, with microscopy

Clinical Scenario

Used to evaluate patients suspected of having hypercalciuria.

Documentation Requirements

Document the reason for urinalysis and any relevant findings.

Specialty Considerations

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hypercalciuria, improving the ability to track and manage this condition effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hypercalciuria, improving the ability to track and manage this condition effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hypercalciuria, improving the ability to track and manage this condition effectively.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is hypercalciuria?

Hypercalciuria is a condition characterized by excessive calcium in the urine, which can lead to kidney stones and other renal complications.

How is hypercalciuria diagnosed?

Diagnosis typically involves a 24-hour urine collection to measure calcium levels, along with serum tests to assess calcium metabolism.

What are the common causes of hypercalciuria?

Common causes include primary hyperparathyroidism, excessive dietary calcium, certain medications, and malignancies.

What are the treatment options for hypercalciuria?

Treatment may involve dietary changes, increased hydration, and medications to reduce calcium excretion, depending on the underlying cause.