Hemoglobinuria
ICD-10 R82.3 is a billable code used to indicate a diagnosis of hemoglobinuria.
Hemoglobinuria is the presence of free hemoglobin in the urine, which occurs when hemoglobin is released from red blood cells into the bloodstream and subsequently filtered by the kidneys. This condition can be indicative of hemolysis, where red blood cells are destroyed faster than they can be produced. Hemoglobinuria can present with dark or reddish-brown urine, and may be accompanied by symptoms such as fatigue, pallor, jaundice, and signs of acute kidney injury. Laboratory findings typically include positive urine tests for hemoglobin without the presence of red blood cells on microscopy, which differentiates it from hematuria. Common causes include hemolytic anemias, transfusion reactions, severe infections, and certain toxins. The clinical context is critical, as hemoglobinuria can lead to significant complications, including acute tubular necrosis if not addressed promptly. Accurate diagnosis often requires a combination of clinical evaluation, laboratory tests, and sometimes imaging studies to identify underlying causes.
Detailed history of symptoms, lab results, and any underlying conditions contributing to hemolysis.
Patients presenting with fatigue, jaundice, and dark urine, requiring evaluation for hemolytic anemia.
Ensure that all relevant lab tests are documented, including complete blood count and reticulocyte count.
Acute care documentation must include vital signs, initial lab results, and any immediate interventions.
Patients with acute hemolytic reactions post-transfusion or severe infections presenting with hemoglobinuria.
Rapid assessment and documentation of the patient's condition are critical for accurate coding.
Used to evaluate for anemia and hemolysis in patients with hemoglobinuria.
Document the reason for the CBC and any relevant findings.
Internal medicine may require additional tests based on findings.
Hemoglobinuria is the presence of free hemoglobin in urine, while hematuria refers to the presence of intact red blood cells. Differentiation is crucial for accurate diagnosis and treatment.
