Urinary organs/tract, diagnostic imaging, abnormal
|Dx:||Urinary organs/tract, diagnostic imaging, abnormal|
|Pre-ICD10 counterpart:||No corresponding old article|
|APACHE Como Component:||none|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
- 1 Additional Info
- 2 Alternate ICD10s to consider coding instead or in addition
- 3 Candidate Combined ICD10 codes
- 4 Related CCI Codes
- 5 Related CCI Codes
- 6 Data Integrity Checks (SMW)
- 7 Related Articles
- This code identifies an abnormal test result, not a disorder.
- The preference is to code the cause of the abnormal test, if known.
- also coding this abnormal test, along with the cause is optional however, it is not necessary.
- When the DX is not known, code likely related other tests and signs and symptoms as Combined ICD10 codes; some likely ones might be listed in #Candidate Combined ICD10 codes.
Symptom/Sign/Test Result not needed when cause known
- This code identifies a symptom or a sign, or an abnormal test result, not a disorder.
- So, you must strive to code the cause of the symptom or sign, if known.
- And if you do know the cause and code it, also coding this symptom/sign as Combined ICD10 codes is OK, but optional.
- In the case of multi-system diagnoses, where a specific symptom/sign/test result is actually causing the hospital admission, and this would not be clear from just the condition itself, do make sure you code the symptom as well.
Patient who has Wegener's granulomatosis is admitted due to Hemoptysis. Usually coding the Hemoptysis would be optional, but Wegener's granulomatosis doesn't always present with this, and unless it is causing problems it would not alone be a reason to admit the patient, so you should code the Hemoptysis.
- Sometimes there may be multiple symptom/sign/test result that might or might NOT be related by virtue of having the same underlying cause. Since in the absence of KNOWING that cause, such assumptions may well be incorrect, do NOT combine them together if you are not certain they actually have the same underlying cause.
If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes
Guideline about Coding CCI vs ICD10 imaging codes
- There are a set of "imaging codes" in ICD10, but these are not to code that an imaging test was performed, but to code that a result was abnormal --- and like all the ICD10 codes for abnormal symptoms or signs or test results, they are mainly to be used when the actual diagnosis CAUSING the abnormal findings is not known.
ICD10 Imaging diagnoses and other diagnoses that require imaging should be coded together with corresponding Imaging Pxs, where we have a code for them. Coding both is not redundant because the ICD10 will only be coded for abnormal results, and we don't have CCI coding options for every kind of imaging. Coding both as appropriate will cover all the ways we are interested in this data.
Related CCI Codes
Data Integrity Checks (SMW)