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ICD-10 Coding for Elevated Creatine Kinase(R74.8, M62.82)

Complete ICD-10-CM coding and documentation guide for Elevated Creatine Kinase. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Elevated CKHyperCKemiaIncreased Creatine Kinase

Related ICD-10 Code Ranges

Complete code families applicable to Elevated Creatine Kinase

R70-R79Primary Range

Abnormal findings on examination of blood, without diagnosis

Includes codes for abnormal serum enzyme levels, such as elevated CK.

Disorders of muscles

Includes codes for muscle disorders that may cause elevated CK, such as rhabdomyolysis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R74.8Abnormal levels of other serum enzymesUse when CK elevation is noted without a specific diagnosis.
  • Documented CK level above normal range
  • No definitive diagnosis explaining elevation
M62.82RhabdomyolysisUse when CK elevation is due to muscle injury or breakdown.
  • CK >5,000 U/L
  • Symptoms of muscle pain or weakness

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for elevated creatine kinase

Essential facts and insights about Elevated Creatine Kinase

The ICD-10 code for elevated creatine kinase is R74.8, used when no specific condition is identified.

Primary ICD-10-CM Codes for elevated creatine kinase

Abnormal levels of other serum enzymes
Billable Code

Decision Criteria

clinical Criteria

  • CK level above normal without specific diagnosis

coding Criteria

  • No other specific ICD-10 code applicable

Applicable To

  • Elevated creatine kinase

Excludes

Clinical Validation Requirements

  • Documented CK level above normal range
  • No definitive diagnosis explaining elevation

Code-Specific Risks

  • Incorrectly using as principal diagnosis when a specific condition is identified

Coding Notes

  • Ensure CK elevation is not due to a more specific condition before using R74.8.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Long term (current) use of hormonal contraceptives

Z79.3
Use to indicate statin use if CK elevation is due to statin therapy.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Rhabdomyolysis

M62.82
Use when CK >5,000 U/L with muscle injury symptoms.

Abnormal levels of other serum enzymes

R74.8
Use R74.8 when no specific muscle injury is identified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Elevated Creatine Kinase to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R74.8.

Impact

Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Thoroughly review patient history, Document all relevant lab results

Impact

Reimbursement: May result in denied claims or reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Identify and code the specific condition causing CK elevation.

Impact

Using R74.8 as principal when a specific condition is identified.

Mitigation Strategy

Review and code specific conditions causing CK elevation.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Elevated Creatine Kinase, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Elevated Creatine Kinase

Use these documentation templates to ensure complete and accurate documentation for Elevated Creatine Kinase. These templates include all required elements for proper coding and billing.

Statin-Induced Myopathy

Specialty: Primary Care

Required Elements

  • Patient history
  • CK levels
  • Medication list
  • Symptoms

Example Documentation

**Subjective**: Patient reports muscle pain after starting statin. **Objective**: CK 1,450 U/L. **Assessment**: R74.8 + Z79.3. **Plan**: Discontinue statin, monitor CK.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Elevated CK noted.
Good Documentation Example
CK 1,450 U/L noted after starting atorvastatin. No trauma or exertion. Statin discontinued.
Explanation
The good example provides specific CK levels, medication history, and action plan.

Need help with ICD-10 coding for Elevated Creatine Kinase? Ask your questions below.

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