icd 10 code for direct and total bilirubin

Full Answer

What is the ICD 10 code for bilirubin metabolism?

Disorder of bilirubin metabolism, unspecified. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. E80.7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM E80.7 became effective on October 1, 2020.

What is a direct bilirubin test?

Bilirubin, Direct - Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gall bladder obstruction. The assessment of direct bilirubin is helpful in the differentiation of hepatic disorders.

What is the reference number for bilirubin?

001099. Bilirubin, Total. mg/dL. 1975-2. 001214. Bilirubin, Total/Direct, Serum. 34543-9. 001222. Bilirubin, Direct.

What is the clinical significance of bilirubin?

Clinical Significance Bilirubin, Direct - Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gall bladder obstruction. The assessment of direct bilirubin is helpful in the differentiation of hepatic disorders.

What is the ICD-10 code for elevated total bilirubin?

E80. 7 - Disorder of bilirubin metabolism, unspecified. ICD-10-CM.

What is total bilirubin and direct bilirubin?

Bilirubin attached by the liver to glucuronic acid, a glucose-derived acid, is called direct, or conjugated, bilirubin. Bilirubin not attached to glucuronic acid is called indirect, or unconjugated, bilirubin. All the bilirubin in your blood together is called total bilirubin.

What is bilirubin total and direct test?

This is a blood test that measures the amount of a substance called bilirubin. This test is used to find out how well your liver is working. It is often part of a panel of tests that measure liver function. A small amount of bilirubin in your blood is normal, but a high level may be a sign of liver disease.

Does total bilirubin include direct and indirect?

This transformation makes bilirubin water-soluble; it can then be excreted in bile and eliminated in the stool [2]. Bilirubin in this second phase is called “direct” or “conjugated” bilirubin. Total bilirubin is the sum of your direct and indirect bilirubin levels.

What is the difference between total direct and indirect bilirubin?

Some bilirubin is bound to a certain protein (albumin) in the blood. This type of bilirubin is called unconjugated, or indirect, bilirubin. In the liver, bilirubin is changed into a form that your body can get rid of. This is called conjugated bilirubin or direct bilirubin.

Why is it called direct and indirect bilirubin?

Conjugated bilirubin also is called direct bilirubin because it reacts directly with the reagent, and unconjugated bilirubin is called indirect because it has to be solubilized first.

Why do we perform total and direct bilirubin test?

A common use of this test is to measure bilirubin levels in newborns to check for infant jaundice. Determine whether there might be blockage in your bile ducts, in either the liver or the gallbladder. Help detect liver disease, particularly hepatitis, or monitor its progression.

What does direct bilirubin indicate?

In adults, an elevated level of direct bilirubin typically points to a blockage or disease of the liver, bile ducts, or gallbladder. Possible diseases include: viral hepatitis, cancer of the liver, and alcoholic liver disease. Blockages are usually caused by gallstones, tumors, or scarring.

What is the normal range for total bilirubin?

Normal Results A normal level is: Direct (also called conjugated) bilirubin: less than 0.3 mg/dL (less than 5.1 µmol/L) Total bilirubin: 0.1 to 1.2 mg/dL (1.71 to 20.5 µmol/L)

What is the CPT code for total bilirubin?

To report this service, you will need to use codes 82247, “Bilirubin; total,” and 82248, “Bilirubin; direct.” On a related note, CPT 2001 includes a new code, 88400, for “Bilirubin, total, transcutaneous.” This describes a non-invasive procedure for the detection of hyperbilirubinemia using transcutaneous ...

How do you calculate direct bilirubin from total bilirubin?

Adult valuesTotal bilirubin = 0.3 to 1.0 mg/dL or 5.1 to 17.0 mmol/L.Direct bilirubin (conjugated bilirubin) = 0.1 to 0.3 mg/dL or 1.0 to 5.1 mmol/L.Indirect bilirubin (unconjugated bilirubin) = (total bilirubin minus direct bilirubin level) = 0.2 to 0.7 mg/dL or 3.4 to 11.9 mmol/L.Total bilirubin in:

How do you calculate direct and indirect bilirubin?

To calculate Indirect bilirubin easily, take Total Bilirubin level and subtract the Direct Bilirubin level from it. Indirect bilirubin: 0.2-0.7 mg/dL (estimated range; you still have to do the calculation.)

What does direct bilirubin indicate?

In adults, an elevated level of direct bilirubin typically points to a blockage or disease of the liver, bile ducts, or gallbladder. Possible diseases include: viral hepatitis, cancer of the liver, and alcoholic liver disease. Blockages are usually caused by gallstones, tumors, or scarring.

What happens if total bilirubin is high?

If too much bilirubin is in your bloodstream it can cause jaundice, which can make your skin and eyes turn yellow. The results of the bilirubin test and signs of jaundice can help your doctor check your liver and determine if you have liver disease. A bilirubin test is also used to determine jaundice in newborns.

What is normal range of direct bilirubin?

Normal Results A normal level is: Direct (also called conjugated) bilirubin: less than 0.3 mg/dL (less than 5.1 µmol/L) Total bilirubin: 0.1 to 1.2 mg/dL (1.71 to 20.5 µmol/L)

What causes high direct bilirubin?

The conjugated (direct) bilirubin level is often elevated by alcohol, infectious hepatitis, drug reactions, and autoimmune disorders. Posthepatic disorders also can cause conjugated hyperbilirubinemia.

What is a benign, autosomally recessive inherited hyperbilirubinemia?

A benign, autosomally recessive inherited hyperbilirubinemia characterized by the presence of a dark pigment in the centrilobular region of the liver cells. There is a functional defect in biliary excretion of bilirubin, cholephilic dyes, and porphyrins.

When will the ICD-10-CM E80.6 be released?

The 2022 edition of ICD-10-CM E80.6 became effective on October 1, 2021.

ICD-10 Code Elevated Bilirubin

What is the correct ICD-10 code for “elevated bilirubin”? The coding index leads to ICD-10 code R17 using the term “elevated”. This code is located in Chapter 18, which is for symptoms, sign, and abnormal results.

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What is bilirubinuria in medicine?

In medicine, bilirubinuria is an abnormality where conjugated bilirubin is detected in the urine.

What is billable code?

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.

What is bilirubin direct?

Bilirubin, Direct - Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gall bladder obstruction. The assessment of direct bilirubin is helpful in the differentiation of hepatic disorders.

Why is bilirubin increased in hepatitis?

The increase in total bilirubin associated with obstructive jaundice is primarily due to the direct (conjugated) fraction . Both direct and indirect bilirubin are increased in the serum with hepatitis.

Alternative Specimen (s)

Serum transferred to an amber transport vial • Plasma from: Sodium heparin (green-top) tube or lithium heparin (green-top) tube

Collection Instructions

Protect from light by wrapping a spun SST ® in foil or transferring serum or plasma to an amber transport vial. Avoid hemolysis.

Setup Schedule

Protect from light by wrapping a spun SST ® in foil or transferring serum or plasma to an amber transport vial. Avoid hemolysis.