Abnormal results of liver function studies
ICD-10 R94.5 is a billable code used to indicate a diagnosis of abnormal results of liver function studies.
Abnormal results of liver function studies (R94.5) indicate deviations from normal values in tests that assess the liver's ability to perform its functions, including the production of proteins, the metabolism of substances, and the detoxification of harmful compounds. Common liver function tests include serum aminotransferases (ALT and AST), alkaline phosphatase, bilirubin levels, and albumin. Abnormal results may suggest liver disease, bile duct obstruction, or other systemic conditions affecting liver function. Symptoms associated with abnormal liver function may include jaundice, fatigue, abdominal pain, and changes in urine or stool color. It is crucial to interpret these results in the context of the patient's clinical history and other diagnostic findings to determine the underlying cause and appropriate management.
Detailed patient history, rationale for testing, and follow-up plans must be documented.
Routine check-ups revealing elevated liver enzymes, patients with chronic liver disease undergoing monitoring.
Consideration of comorbidities that may affect liver function and the need for comprehensive documentation.
Acute presentation documentation, including symptoms, lab results, and immediate management plans.
Patients presenting with acute abdominal pain and abnormal liver function tests.
Rapid assessment and documentation of potential acute liver failure or other urgent conditions.
Used when liver function tests are ordered as part of a routine evaluation.
Document the reason for the liver function panel and any relevant clinical history.
Internal medicine and gastroenterology often order these panels for monitoring liver health.
Document the patient's clinical history, the reason for the liver function tests, the results, and any follow-up actions taken. Ensure that the abnormal results are linked to the patient's clinical condition.
