This assignment is for someone who has experience in the medical field. (ICD10PCS ) (CPT Coding)

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International Classification of Diseases Diagnosis Coding II With Lab

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Explain why this resource would be beneficial to a coder. (read the article below) Abnormal findings in urine ICD-10-CM/PCS Coding Clinic, Fourth Quarter ICD-10 2018 Pages: 29-30 Effective with discharges: October 1, 2018

Abnormal Findings in Urine

One of the most commonly used diagnostic tests for patients who form kidney stones is a urine collection test looking for abnormal levels of certain substances. When these abnormalities are identified, treatment can be started to reduce the risk of future stone formation. The American Urological Association (AUA) requested the creation of new codes for specific abnormal findings in urine collection to help with research and public health. The new codes are as follows:

Hypocitraturia (R82.991) - Low levels of citrate in the urine is usually defined, as citrate excretion of less than 320 mg/day but in severe cases can be less than 100 mg/day. Low citrate levels are a known risk factor for kidney stone formation. Citrate inhibits stone formation by complexing with calcium in the urine, inhibiting spontaneous nucleation, and preventing growth and agglomeration of crystals. This condition is usually treated with citrate medications.

Hyperoxaluria (R82.992) - Occurs when there is too much oxalate in the urine. Oxalate is a natural chemical in the body and is found in certain types of food. Hyperoxaluria can be caused by inherited (genetic) disorders, an intestinal disease or eating too many oxalate-rich foods. Individuals with hyperoxaluria often have calcium oxalate kidney stones. Treatment for these patients may consist of dietary changes or medications.

Please note that there was already a code for hyperoxaluria (E72.53); however, the descriptor for code E72.53, Hyperoxaluria, has been revised to "Primary hyperoxaluria." Code E72.53 is reserved specifically for a childhood inborn error of metabolism, primary hyperoxaluria, which is a diagnostic condition that can be determined by genetic testing. This is different from someone who has an idiopathic or diet-induced mild elevation of oxalate in the urine, who does not have the genetic inborn error of metabolism.

Hyperuricoscuria (R82.993) - Is defined as high levels of uric acid in the urine. Direct causes of hyperuricosuria include dissolution of uric acid crystals in the kidneys or urinary bladder and hyperuricemia. Indirect causes include uricosuric drugs, rapid breakdown of bodily tissues containing large quantities of DNA and RNA, and a diet high in purine. Acute hyperuricosuria is a common complication of tumor lysis syndrome. Chronic hyperuricosuria is associated with gout and uric acid nephrolithiasis. This condition may be treated with dietary measures and possible treatment of an underlying condition.

Hypercalciuria (R82.994) - Patients with hypercalciuria have kidneys that put out higher levels of calcium than normal. Chronic hypercalciuria may lead to impairment of renal function, nephrocalcinosis, and renal insufficiency. These patients may be treated with thiazide diuretics.

Code R82.998 describes other abnormal findings in urine.

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Running Head: Health & Medical

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Current Procedural Terminology(CPT) Coding

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Running Head: Health & Medical

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Current Procedural Terminology codes are important to medical coders mainly in enabling them
to diagnose diseases and hence be able to treat them according. For example, the codes related to
abnormal findings in urine has greatly helped the medical doctors to treat patients suffering with
such conditions such the formation of stone in the kidney.
There are many reasons why the CPT codes are important to medical coders. First, they are used
for diagnosing any infection in the body of a patient. This hence helps the medical personnel to
use them in the medical and the surgical work in order to correct or prevent abnormal happenings
in the body of a person.
CPT codes, in addition, helps in the diagnosing errors related to medical billing. Coders have to
be extra careful when dealing with such kind of stuff as they are of great importance in their field
of work. They have to ensure that their patients are satisfied with their...


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