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ICD-10 Guide
ICD-10 CodesR87.2

R87.2

Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs

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

Code Description

ICD-10 R87.2 is a billable code used to indicate a diagnosis of abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs.

Key Diagnostic Point:

R87.2 refers to the abnormal levels of drugs, medicaments, and biological substances found in specimens taken from female genital organs. This can include abnormal findings in urine, vaginal swabs, or other specimens that indicate the presence of substances not typically expected in these samples. Such abnormalities may arise from various factors, including medication use, exposure to environmental toxins, or underlying medical conditions. Clinicians may encounter this code when evaluating patients for potential drug interactions, side effects, or complications related to pharmacological treatments. The identification of abnormal levels can lead to further diagnostic testing and management strategies tailored to the patient's specific needs, ensuring that any underlying issues are addressed appropriately.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in drug metabolism among individuals
  • Diverse range of substances that can be detected
  • Need for comprehensive patient history to interpret results
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of the specific substances tested
  • Failure to correlate abnormal findings with clinical symptoms
  • Misinterpretation of lab results leading to incorrect coding
  • Lack of follow-up documentation for abnormal findings

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including medication use and any relevant symptoms.

Common Clinical Scenarios

Patients presenting with unexplained symptoms potentially related to drug levels.

Billing Considerations

Consideration of polypharmacy and its effects on lab results.

Emergency Medicine

Documentation Requirements

Acute care notes detailing the patient's presentation and any immediate interventions.

Common Clinical Scenarios

Patients with acute symptoms potentially linked to drug toxicity.

Billing Considerations

Rapid assessment of lab results and correlation with clinical findings.

Coding Guidelines

Inclusion Criteria

Use R87.2 When
  • Coders should ensure that the abnormal findings are clearly documented in the medical record, including the specific substances tested and their levels
  • It is essential to link the code to the clinical context and any relevant symptoms or diagnoses

Exclusion Criteria

Do NOT use R87.2 When
No specific exclusions found.

Related CPT Codes

80053CPT Code

Comprehensive metabolic panel

Clinical Scenario

Used to assess overall health and detect abnormalities in drug levels.

Documentation Requirements

Document the reason for testing and any relevant patient history.

Specialty Considerations

Internal medicine may require more detailed documentation of medication history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the ability to capture the nuances of drug levels in clinical practice. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the ability to capture the nuances of drug levels in clinical practice. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the ability to capture the nuances of drug levels in clinical practice. This specificity aids in better patient management and resource allocation.

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

What should be documented to support the use of R87.2?

Documentation should include the specific substances tested, their levels, the clinical context, and any relevant patient history that may explain the abnormal findings.