Abnormal microbiological findings in cerebrospinal fluid
ICD-10 R83.5 is a billable code used to indicate a diagnosis of abnormal microbiological findings in cerebrospinal fluid.
R83.5 is used to classify abnormal microbiological findings in cerebrospinal fluid (CSF) that are not classified elsewhere. This code encompasses a range of findings that may indicate infections, inflammatory conditions, or other pathological processes affecting the central nervous system. Common abnormalities include the presence of bacteria, viruses, fungi, or atypical cells in the CSF, which can be detected through laboratory analysis. Symptoms associated with abnormal CSF findings may include fever, headache, neck stiffness, altered mental status, and neurological deficits. The clinical context often involves conditions such as meningitis, encephalitis, or multiple sclerosis, where timely diagnosis and treatment are critical. Accurate coding requires thorough documentation of the clinical findings, laboratory results, and any relevant symptoms to ensure appropriate management and reimbursement.
Detailed documentation of symptoms, laboratory results, and clinical rationale for CSF analysis.
Patients presenting with fever, headache, and neurological symptoms requiring CSF analysis.
Ensure that all relevant clinical findings are documented to support the diagnosis and coding.
Acute care documentation must include time-sensitive symptoms and immediate lab results.
Patients with acute onset of severe headache and altered mental status requiring rapid CSF analysis.
Document the urgency of the situation and any immediate interventions performed.
Used to obtain CSF for analysis when abnormal findings are suspected.
Document the indication for the procedure and the findings from the CSF analysis.
In neurology, ensure that the rationale for lumbar puncture is clearly stated.
Documentation should include the clinical symptoms leading to CSF analysis, the results of the laboratory tests, and any relevant medical history that supports the diagnosis of abnormal findings.
