ICD Code R74.01

ICD code R74.01 is used to indicate an elevation of liver transaminase levels, which are enzymes found in the liver. Elevated levels can suggest liver damage or inflammation, often prompting further investigation to determine the underlying cause, such as liver disease, hepatitis, or other conditions affecting liver function.

When considering the use of the ICD code for the elevation of levels of liver transaminase, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Abnormal Liver Function Tests: Elevated levels of liver enzymes, specifically alanine aminotransferase (ALT) and aspartate aminotransferase (AST), as determined by blood tests.

2. Clinical Symptoms: Presence of symptoms such as fatigue, weakness, jaundice (yellowing of the skin and eyes), or abdominal pain, which may indicate liver dysfunction.

3. Medical History: A comprehensive review of the patient's medical history, including any known liver conditions, alcohol use, medication intake, or exposure to hepatotoxic substances.

4. Physical Examination: Findings from a physical examination that suggest liver enlargement or tenderness in the upper right quadrant of the abdomen.

5. Exclusion of Other Causes: Rule out other potential causes of elevated liver enzymes, such as muscle injury, myocardial infarction, or hemolysis, through appropriate diagnostic testing.

6. Follow-up Testing: Consideration of additional tests, such as imaging studies (ultrasound, CT scan, or MRI) or liver biopsy, if necessary, to further investigate the cause of enzyme elevation.

7. Monitoring and Re-evaluation: Regular monitoring of liver enzyme levels and re-evaluation of the patient's condition to assess changes over time and response to any interventions.

By adhering to these criteria, healthcare providers can accurately determine when to apply the ICD code for elevated liver transaminase levels in their clinical documentation and billing processes.

For the ICD code R74.01, which pertains to the elevation of levels of liver transaminase levels, the relevant CPT codes that may be applicable include:

1. CPT 80076 - Hepatic Function Panel: This panel includes tests for total protein, albumin, bilirubin (total and direct), alkaline phosphatase, AST (SGOT), and ALT (SGPT), which are commonly ordered to evaluate liver function.

2. CPT 84450 - Transferase; aspartate amino (AST) (SGOT): This code is used for the specific measurement of the AST enzyme level, which is one of the liver transaminases.

3. CPT 84460 - Alanine Aminotransferase (ALT) (SGPT): This code is used for the specific measurement of the ALT enzyme level, another key liver transaminase.

4. CPT 84478 - Triglycerides: While not directly a liver enzyme, triglyceride levels can be part of a broader assessment of liver health.

These CPT codes are typically used in conjunction with the ICD code R74.01 to ensure accurate billing and documentation for services related to the evaluation of liver enzyme levels. Always verify with the latest coding guidelines and payer-specific policies to ensure compliance and accuracy.

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