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v1.0.0
ICD-10 Guide
ICD-10 CodesR82.79

R82.79

Other abnormal findings on microbiological examination of urine

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R82.79 is a billable code used to indicate a diagnosis of other abnormal findings on microbiological examination of urine.

Key Diagnostic Point:

The ICD-10 code R82.79 is used to classify other abnormal findings identified during microbiological examination of urine that do not fall under more specific categories. This may include atypical bacterial growth, unusual yeast or fungal presence, or other non-standard findings that could indicate underlying conditions such as urinary tract infections (UTIs), kidney disease, or metabolic disorders. The findings may not be indicative of a specific diagnosis but warrant further investigation or monitoring. Clinicians often rely on these microbiological results to guide treatment decisions, especially in cases where standard symptoms do not correlate with expected findings. Accurate interpretation of these results is crucial, as they can influence the management of patients with complex urological or systemic conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential abnormal findings that can be classified under this code.
  • Need for thorough clinical documentation to support the findings.
  • Differentiation from other specific codes related to urinary findings.
  • Potential overlap with other diagnoses that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the clinical rationale for testing.
  • Failure to specify the type of abnormal finding in the medical record.
  • Misclassification of findings that could fit into more specific codes.
  • Lack of follow-up documentation regarding the management of abnormal findings.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed clinical notes explaining the context of the abnormal findings and any related symptoms.

Common Clinical Scenarios

Patients presenting with nonspecific urinary symptoms, requiring microbiological examination to rule out infections or other conditions.

Billing Considerations

Ensure that all relevant laboratory results are included in the patient's medical record to support the coding.

Emergency Medicine

Documentation Requirements

Acute care documentation must include the reason for testing and any immediate clinical findings.

Common Clinical Scenarios

Patients with acute urinary symptoms or systemic signs of infection presenting to the emergency department.

Billing Considerations

Rapid documentation is essential; ensure that all findings are clearly linked to the patient's presenting symptoms.

Coding Guidelines

Inclusion Criteria

Use R82.79 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the findings are not classified elsewhere
  • Document the clinical significance of the abnormal findings and any follow
  • up actions taken

Exclusion Criteria

Do NOT use R82.79 When
No specific exclusions found.

Related CPT Codes

87086CPT Code

Culture, bacterial, urine

Clinical Scenario

When a urine culture is performed to identify abnormal findings.

Documentation Requirements

Document the reason for the culture and any relevant clinical history.

Specialty Considerations

Ensure that the culture results are clearly linked to the patient's symptoms and treatment plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal findings, which can improve the accuracy of diagnoses and treatment plans. R82.79 provides a mechanism to capture findings that do not fit neatly into other categories, allowing for better tracking and management of patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, which can improve the accuracy of diagnoses and treatment plans. R82.79 provides a mechanism to capture findings that do not fit neatly into other categories, allowing for better tracking and management of patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings, which can improve the accuracy of diagnoses and treatment plans. R82.79 provides a mechanism to capture findings that do not fit neatly into other categories, allowing for better tracking and management of patient care.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of findings are classified under R82.79?

R82.79 encompasses a variety of abnormal findings from urine microbiological examinations that do not fit into more specific categories, such as atypical bacterial growth, unusual yeast or fungal presence, or other non-standard findings.