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

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

Also known as:

Elevated CKHigh Creatine PhosphokinaseIncreased CPK

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Related ICD-10 Code Ranges

Complete code families applicable to Elevated Creatine Kinase Levels

R74-R79Primary Range

Abnormal serum enzyme levels

This range includes codes for abnormal levels of serum enzymes, including creatine kinase.

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 levels are elevated without a confirmed underlying condition.
  • CK level >1.5x ULN
  • No identified underlying cause
M62.82RhabdomyolysisUse when CK levels are significantly elevated due to muscle breakdown.
  • CK >5,000 U/L
  • Presence of myoglobinuria

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 CK

Essential facts and insights about Elevated Creatine Kinase Levels

The ICD-10 code for elevated CK without a known cause is R74.8.

Primary ICD-10-CM Codes for elevated initials of physician

R74.8
Abnormal levels of other serum enzymes
Billable Code

Decision Criteria

clinical Criteria

  • CK level >1.5x ULN without identified cause.

Applicable To

  • Elevated CK without confirmed etiology

Excludes

Clinical Validation Requirements

  • CK level >1.5x ULN
  • No identified underlying cause

Code-Specific Risks

  • Using as a primary code when an underlying cause is known.

Coding Notes

  • Ensure documentation specifies CK levels and any associated symptoms or conditions.
View Full Code Details

Ancillary Codes

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

Abnormal levels of other serum enzymes

R74.8
Use to document CK elevation alongside rhabdomyolysis.

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 myoglobinuria.

Muscular dystrophy

G71.0
Use when persistent CK >1,000 U/L with family history.

Documentation & Coding Risks

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

Impact

Clinical: Inadequate clinical assessment., Regulatory: Potential audit issues., Financial: Incorrect coding may affect reimbursement.

Mitigation Strategy

Always include lab results in documentation., Use templates to ensure completeness.

Impact

Reimbursement: Potential for lower reimbursement if underlying condition is not coded., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Identify and code the underlying condition first.

Impact

Coding elevated CK without identifying the cause can lead to audits.

Mitigation Strategy

Always investigate and document potential causes of 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 Levels, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Elevated Creatine Kinase Levels

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

CK elevation without known cause

Specialty: Internal Medicine

Required Elements

  • Exact CK value
  • Reference range
  • Associated symptoms
  • Medication history

Example Documentation

Patient presents with CK 2,300 U/L (ref 10-140), no recent trauma, on atorvastatin.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Elevated CK noted.
Good Documentation Example
CK 2,300 U/L (ref 10-140), no trauma, on atorvastatin.
Explanation
The good example provides specific CK values and relevant clinical context.

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