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ICD-10 Guide
ICD-10 CodesR82.993

R82.993

Hyperuricosuria

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

Code Description

ICD-10 R82.993 is a billable code used to indicate a diagnosis of hyperuricosuria.

Key Diagnostic Point:

Hyperuricosuria is characterized by an elevated level of uric acid in the urine, which can be indicative of various underlying metabolic disorders. Clinically, it may present without specific symptoms, but it can be associated with conditions such as gout, kidney stones, and renal impairment. Patients may experience symptoms related to these conditions, such as joint pain, swelling, or renal colic. Laboratory findings typically reveal uric acid levels exceeding the normal range, which is generally considered to be above 800 mg/24 hours in men and 750 mg/24 hours in women. The condition can arise from excessive dietary intake of purines, increased cell turnover, or renal tubular defects that impair uric acid reabsorption. Accurate diagnosis often requires a comprehensive metabolic panel and a thorough patient history to identify potential causes, including dietary habits and family history of metabolic disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in uric acid levels based on diet and hydration status
  • Potential overlap with other metabolic disorders
  • Need for comprehensive patient history to identify causes
  • Interpretation of lab results may require specialist input

Audit Risk Factors

  • Inadequate documentation of uric acid levels
  • Failure to link hyperuricosuria to clinical symptoms
  • Misclassification of primary vs. secondary causes
  • Lack of follow-up documentation for ongoing conditions

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including dietary habits and family history of metabolic disorders.

Common Clinical Scenarios

Patients presenting with joint pain or renal stones, requiring uric acid level assessment.

Billing Considerations

Consideration of comorbidities such as hypertension and diabetes that may influence uric acid metabolism.

Emergency Medicine

Documentation Requirements

Acute care documentation must include uric acid levels and associated symptoms.

Common Clinical Scenarios

Patients presenting with acute gout attacks or renal colic.

Billing Considerations

Rapid assessment of uric acid levels in acute settings to guide treatment.

Coding Guidelines

Inclusion Criteria

Use R82.993 When
  • Follow official ICD
  • CM guidelines for coding symptoms and abnormal findings
  • Ensure that the diagnosis is supported by laboratory results and clinical documentation

Exclusion Criteria

Do NOT use R82.993 When
No specific exclusions found.

Related CPT Codes

80050CPT Code

General health panel

Clinical Scenario

Used when evaluating metabolic disorders including hyperuricosuria.

Documentation Requirements

Document all lab results and clinical findings.

Specialty Considerations

Internal medicine may require additional metabolic panels.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like hyperuricosuria, improving the accuracy of diagnoses and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like hyperuricosuria, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like hyperuricosuria, improving the accuracy of diagnoses and treatment plans.

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 is hyperuricosuria?

Hyperuricosuria is a condition characterized by elevated levels of uric acid in the urine, which can indicate various metabolic disorders and may lead to complications such as gout or kidney stones.