Abnormal findings in cerebrospinal fluid
ICD-10 R83 is a billable code used to indicate a diagnosis of abnormal findings in cerebrospinal fluid.
Abnormal findings in cerebrospinal fluid (CSF) can indicate a variety of underlying conditions affecting the central nervous system. These findings may include elevated protein levels, abnormal cell counts, presence of bacteria or viruses, and altered glucose levels. Symptoms associated with abnormal CSF findings can range from headaches, fever, and neck stiffness to more severe neurological deficits depending on the underlying cause. Common causes of abnormal CSF findings include infections such as meningitis, inflammatory diseases like multiple sclerosis, and malignancies. The diagnostic approach typically involves lumbar puncture to collect CSF for analysis, followed by laboratory tests to identify specific abnormalities. Clinicians must interpret these findings in the context of the patient's clinical presentation and history to arrive at a diagnosis. Accurate coding of R83 requires thorough documentation of the clinical findings and the specific tests performed, as well as the clinical significance of the abnormal results.
Detailed clinical history, results of CSF analysis, and correlation with symptoms.
Patients presenting with neurological symptoms such as headaches, altered mental status, or signs of infection.
Ensure that all relevant clinical findings and laboratory results are documented to support the diagnosis.
Acute care notes, including vital signs, neurological assessments, and immediate lab results.
Patients with acute onset of severe headache, fever, or neurological deficits requiring urgent evaluation.
Document the urgency of the situation and any immediate interventions performed.
Used to obtain CSF for analysis in cases of suspected meningitis or other CNS disorders.
Document indication for lumbar puncture, technique used, and any complications.
Ensure that the procedure is justified based on clinical findings.
Common causes include infections (like meningitis), inflammatory diseases (such as multiple sclerosis), and malignancies affecting the central nervous system.
