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ICDxICD-10 Medical Coding

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v1.0.0
ICD-10 Guide
DiagnosesLab Review

Lab Review

ICD-10 Coding for Lab Review(R73.01, R82.5)

PRIMARY SPECIALTYPrimary Care
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Lab Review?
Essential facts and insights about Lab Review

Key Clinical Considerations:

  • Abnormal lab results indicating potential health issues
  • Review of lab tests such as CBC, BMP, lipid panel
  • Physical exam may reveal signs related to lab findings, e.g., jaundice, edema

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's lab results and interpretation
  • Specific ICD-10 codes related to lab findings
  • Examples: 'Patient presents with elevated glucose levels, indicating potential diabetes'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding based on specific lab results
  • Common errors include using outdated codes or misclassifying lab findings

Code Exclusions

Important Exclusions

  • Conditions unrelated to lab findings, such as acute infections
  • Alternative codes for specific diseases not indicated by lab results

Related ICD-10 Codes

Primary Codes
R79.9
Abnormal findings of blood chemistry, unspecified
E11.9
Type 2 diabetes mellitus without complications
E78.5
Hyperlipidemia, unspecified
Ancillary Codes
Z79.4
Z51.81
Differential Codes
E11.9
E11.9
if chronic management of diabetes is documented.
N18.3
N18.3
if CKD is diagnosed and documented.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Primary Care

Specialty Applications

  • Adult and pediatric patients undergoing routine lab tests
  • Primary care settings, outpatient clinics

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document all lab results, interpretations, and any follow-up actions.

What are the billing considerations?

Ensure accurate coding based on lab results and associated diagnoses.