Cloudy (hemodialysis) (peritoneal) dialysis effluent
ICD-10 R88.0 is a billable code used to indicate a diagnosis of cloudy (hemodialysis) (peritoneal) dialysis effluent.
Cloudy dialysis effluent is a significant clinical finding in patients undergoing peritoneal dialysis (PD) or hemodialysis. This abnormality typically indicates the presence of infection, such as peritonitis, or other complications like leakage or inflammation. The effluent may appear turbid due to the presence of white blood cells, bacteria, or other particulate matter. Clinicians must assess the patient's symptoms, including abdominal pain, fever, and changes in dialysis adequacy, to determine the underlying cause. Laboratory analysis of the effluent, including cell count, culture, and biochemical tests, is essential for diagnosis. Prompt identification and management of the cause of cloudy effluent are crucial to prevent serious complications, including sepsis or loss of dialysis access. The clinical context surrounding this finding is vital, as it can significantly impact patient outcomes and treatment strategies.
Detailed history of dialysis treatment, symptoms, and laboratory results must be documented.
Patients presenting with abdominal pain and cloudy effluent during routine dialysis.
Consideration of patient history, including previous infections or complications.
Acute care documentation must include vital signs, symptom onset, and immediate lab results.
Patients presenting to the emergency department with fever and cloudy effluent.
Rapid assessment and documentation of potential sepsis or other urgent complications.
Used when a patient on hemodialysis presents with cloudy effluent.
Document the procedure details and any complications.
Nephrology specialists should ensure accurate linkage between the procedure and diagnosis.
Documentation should include the patient's symptoms, laboratory results indicating cloudy effluent, and any relevant history of dialysis treatment.
