Abnormal microbiological findings in specimens from other organs, systems and tissues
ICD-10 R89.5 is a billable code used to indicate a diagnosis of abnormal microbiological findings in specimens from other organs, systems and tissues.
R89.5 is used to classify abnormal microbiological findings in specimens obtained from various organs, systems, and tissues that do not fall under more specific categories. This code encompasses a range of findings, including but not limited to abnormal cultures, atypical microbiological results, and unexpected pathogen identifications. Clinically, these findings may indicate infections, colonization by opportunistic pathogens, or contamination of specimens. The abnormal results can arise from various sources, including respiratory, urinary, gastrointestinal, and wound specimens. The interpretation of these findings requires careful clinical correlation, as they may not always indicate active disease. For instance, a positive culture for a non-pathogenic organism may be clinically insignificant in an asymptomatic patient. Therefore, the context of the patient's symptoms, history, and other diagnostic results is crucial for accurate diagnosis and treatment planning.
Detailed clinical history, laboratory results, and correlation with physical examination findings.
Patients presenting with unexplained symptoms where microbiological testing reveals abnormal results.
Ensure that the documentation clearly states the clinical significance of the findings and any follow-up actions taken.
Acute care documentation must include the reason for testing and any immediate interventions based on findings.
Patients with acute infections where rapid microbiological testing is performed.
Document the urgency of the findings and any immediate treatment decisions made based on the results.
Used when obtaining cultures to identify abnormal microbiological findings.
Document the source of the specimen and the reason for the culture.
Ensure that the culture results are correlated with clinical findings.
Use R89.5 when you have abnormal microbiological findings from specimens that do not fit into more specific categories and when there is adequate clinical documentation to support the findings.
