ICD Code E80.6

ICD code E80.6 is a classification used to identify and document medical conditions related to other disorders of bilirubin metabolism. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of diseases and conditions. Specifically, E80.6 covers disorders that affect the metabolism of bilirubin, a substance produced by the normal breakdown of red blood cells, which can lead to conditions such as jaundice or other related metabolic issues. This code helps in the accurate billing and management of healthcare services related to these disorders.

When considering the use of the ICD code for "Other disorders of bilirubin metabolism," healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Elevated Bilirubin Levels: Persistent or recurrent elevated levels of bilirubin in the blood, not attributable to common causes such as liver disease or hemolysis.

2. Jaundice: Presence of jaundice, characterized by yellowing of the skin and eyes, without a clear etiology linked to more common liver or blood disorders.

3. Family History: A family history of bilirubin metabolism disorders, suggesting a possible genetic component to the patient's condition.

4. Normal Liver Function Tests: Liver function tests that are within normal ranges, ruling out hepatic causes for the bilirubin elevation.

5. Absence of Hemolysis: Laboratory tests confirming the absence of hemolysis, such as normal haptoglobin levels and negative direct Coombs test.

6. Unexplained Symptoms: Other unexplained symptoms that may be associated with bilirubin metabolism disorders, such as fatigue or abdominal discomfort, in the absence of other diagnoses.

7. Exclusion of Other Conditions: Thorough evaluation to exclude other potential causes of hyperbilirubinemia, such as Gilbert's syndrome, Crigler-Najjar syndrome, or Dubin-Johnson syndrome.

8. Specialized Testing: Results from specialized tests or genetic testing that indicate abnormalities in bilirubin metabolism pathways.

By systematically assessing these criteria, healthcare providers can determine the appropriateness of using this specific ICD code in their clinical documentation and billing processes.

For the ICD code E80.6, "Other disorders of bilirubin metabolism," the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

1. CPT 80076 - Hepatic Function Panel: This panel includes tests that measure bilirubin levels, which are crucial for diagnosing and managing disorders of bilirubin metabolism.

2. CPT 82247 - Bilirubin; total: This code is used for the measurement of total bilirubin in the blood, which is essential for assessing bilirubin metabolism disorders.

3. CPT 82248 - Bilirubin; direct: This code is used for the measurement of direct (conjugated) bilirubin, providing further insight into bilirubin metabolism.

4. CPT 84443 - Thyroid Stimulating Hormone (TSH): While not directly related to bilirubin metabolism, thyroid function tests may be ordered to rule out other metabolic disorders that could affect bilirubin levels.

5. CPT 83036 - Hemoglobin; glycosylated (A1C): This test may be relevant if there is a need to assess overall metabolic function, as disorders of bilirubin metabolism can sometimes be associated with other metabolic conditions.

6. CPT 84155 - Protein; total, except by refractometry: This test measures total protein levels, which can be relevant in assessing liver function and related metabolic disorders.

These CPT codes are examples of procedures and tests that may be used in the evaluation and management of conditions associated with ICD code E80.6. It is important for healthcare providers to select the appropriate CPT codes based on the specific clinical scenario and patient needs.

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