Abnormal immunological findings in cerebrospinal fluid
ICD-10 R83.4 is a billable code used to indicate a diagnosis of abnormal immunological findings in cerebrospinal fluid.
R83.4 refers to abnormal immunological findings in cerebrospinal fluid (CSF), which can indicate various underlying conditions affecting the central nervous system. These findings may include elevated levels of immunoglobulins, presence of oligoclonal bands, or abnormal cell counts, which can suggest inflammatory, infectious, or neoplastic processes. Common symptoms associated with abnormal CSF findings include headaches, fever, neck stiffness, and neurological deficits. The clinical context often involves conditions such as multiple sclerosis, infections like meningitis or encephalitis, and autoimmune disorders. A thorough analysis of CSF is typically performed through lumbar puncture, and results are interpreted alongside clinical symptoms and other diagnostic tests to establish a definitive diagnosis.
Detailed history and physical examination, including neurological assessment and rationale for lumbar puncture.
Patients presenting with unexplained neurological symptoms, requiring CSF analysis for diagnosis.
Ensure that the clinical context is well-documented to support the use of R83.4.
Acute care documentation must include immediate symptoms, vital signs, and any interventions performed.
Patients with acute meningitis symptoms requiring rapid CSF analysis.
Document the urgency of the situation and any immediate findings to justify the use of R83.4.
Used when CSF analysis is performed to investigate abnormal findings.
Document the indication for the procedure and any findings from the CSF analysis.
Ensure that the procedure is justified based on clinical symptoms.
Common causes include infections (like meningitis), autoimmune diseases (such as multiple sclerosis), and malignancies affecting the central nervous system.
