Hyperoxaluria
ICD-10 R82.992 is a billable code used to indicate a diagnosis of hyperoxaluria.
Hyperoxaluria is characterized by an excessive excretion of oxalate in the urine, which can lead to the formation of kidney stones and renal damage. It is often asymptomatic but may present with symptoms such as flank pain, hematuria, and urinary tract infections. The condition can be primary, due to genetic disorders affecting oxalate metabolism, or secondary, resulting from dietary factors or malabsorption syndromes. Laboratory findings typically include elevated urinary oxalate levels, which can be confirmed through 24-hour urine collection. Clinicians may also observe calcium oxalate crystals in urine microscopy. Understanding the underlying cause is crucial for management, as treatment may involve dietary modifications, increased fluid intake, or pharmacological interventions to reduce oxalate absorption or promote its excretion.
Detailed patient history, including dietary habits and family history of kidney stones.
Patients presenting with recurrent kidney stones or unexplained renal failure.
Ensure to document any underlying conditions contributing to hyperoxaluria.
Acute presentation notes, including pain assessment and laboratory results.
Patients presenting with acute flank pain and hematuria.
Document any immediate interventions and follow-up plans.
Used to screen for urinary abnormalities including hyperoxaluria.
Document the reason for urinalysis and any abnormal findings.
Ensure that the urinalysis is linked to the diagnosis of hyperoxaluria.
Primary hyperoxaluria is usually caused by genetic defects in the liver's metabolism of glyoxylate, leading to excessive oxalate production.
Diagnosis is typically made through a 24-hour urine collection to measure oxalate levels, alongside clinical evaluation of symptoms.
