icd 10 code to test for keppra level

by Meghan Brekke 5 min read

81: Encounter for therapeutic drug level monitoring.

Full Answer

What is the UofM result code for Keppra?

Result Code Result Code Name UofM Result LOINC 716936 Levetiracetam (Keppra), S 30471-7 716937 Levetiracetam, S ug/mL 30471-7 Test Menu Right Side Menu Find a Test New & Updated Tests Test Resources For Providers Please login to order a test Order a Test © 2021 Laboratory Corporation of America® Holdings and Lexi-Comp Inc. All Rights Reserved.

What is the turnaround time for Keppra tests?

Keppra® Expected Turnaround Time 2 - 4 days Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests.

What is the ICD 10 code for drug level monitoring?

Encounter for therapeutic drug level monitoring. Z51.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z51.81 became effective on October 1, 2018. This is the American ICD-10-CM version of Z51.81 - other international versions of ICD-10 Z51.81 may differ.

What is the latest ICD 10 version for seizures?

Other seizures. The 2019 edition of ICD-10-CM G40.89 became effective on October 1, 2018. This is the American ICD-10-CM version of G40.89 - other international versions of ICD-10 G40.89 may differ.

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What lab test checks keppra levels?

There is a blood test for Keppra where they measure Serum levetiracetam (XaJeB) however my consultant advised that he would not take too much notice of the result as the therepeutic level (which I believe means the level at which it has a successful effect) is different for each patient.

Can you check keppra blood levels?

Is My Blood Checked for Keppra® ? Currently, little is known about the therapeutic range for blood levels for Keppra® . Therefore, levels may not routinely be checked. Dosing is usually based on patient tolerance and effectiveness in seizure control.

What is the ICD-10 code for Keppra?

Other long term (current) drug therapy Z79. 899 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z79. 899 became effective on October 1, 2021.

What is the ICD-10 code for medication monitoring?

ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

When should levetiracetam levels be checked?

People who take levetiracetam should talk to their doctor about the timing of the sample collection. Normally, the recommended time for having the blood test is just before the next dose is taken (trough level). The therapeutic range for levetiracetam is wide, approximately 12.0 - 46.0 mg/L.

How do you monitor levetiracetam?

Measurement of levetiracetam in serum plasma is commonly done by high performance liquid chromatography (HPLC). After ARK Diagnostics marketed an enzyme immunoassay (IA) for levetiracetam in serum or plasma, automated determinations are possible.

When do you use ICD-10 Z79 899?

The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes. Because Plaquenil does not have its own specific category, clinicians should use Z79. 899—Other Long Term (Current) Drug Therapy.

What is therapeutic drug level monitoring?

Therapeutic drug monitoring (TDM) is testing that measures the amount of certain medicines in your blood. It is done to make sure the amount of medicine you are taking is both safe and effective.

What is the ICD-10 code for epilepsy?

3 Generalized idiopathic epilepsy and epileptic syndromes.

What is diagnosis code Z03 89?

Z03. 89 No diagnosis This diagnosis description is CHANGED from “No Diagnosis” to “Encounter for observation for other suspected diseases and conditions ruled out.” established. October 1, 2019, with the 2020 edition of ICD-10-CM.

What is diagnosis code Z79?

2022 ICD-10-CM Diagnosis Code Z79: Long term (current) drug therapy.

What is the CPT code for therapeutic drug monitoring?

Code 82205 is for therapeutic monitoring only.

Expected Turnaround Time

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Container

Red-top tube, lavender-top (EDTA) tube, or green-top (heparin) tube. Do not use a gel-barrier tube. The use of gel-barrier tubes is not recommended due to slow absorption of the drug by the gel. Depending on the specimen volume and storage time, the decrease in drug level due to absorption may be clinically significant.

Limitations

This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration.

Additional Information

Levetiracetam (LTA), a piracetam analogue, is an antiepileptic drug (AED) structurally unrelated to other AEDs. The exact mechanism by which LTA acts has not been determined at this time; however, binding sites for the drug have been identified in synaptic plasma membranes of CNS neurons.

What is the Z79.02?

Z79.02 Long term (current) use of antithrombotics/antiplatelets. Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID) Z79.2 Long term (current) use of antibiotics. Z79.3 Long term (current) use of hormonal contraceptives. Z79.4 Long term (current) use of insulin.

What is the ICd 10 code for drug abuse?

Long term (current) drug therapy Z79- 1 drug abuse and dependence (#N#ICD-10-CM Diagnosis Code F11#N#Opioid related disorders#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#F11 -#N#ICD-10-CM Diagnosis Code F19#N#Other psychoactive substance related disorders#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Includes#N#polysubstance drug use (indiscriminate drug use)#N#F19) 2 drug use complicating pregnancy, childbirth, and the puerperium (#N#ICD-10-CM Diagnosis Code O99.32#N#Drug use complicating pregnancy, childbirth, and the puerperium#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Use Additional#N#code (s) from F11 - F16 and F18 - F19 to identify manifestations of the drug use#N#O99.32-)

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) DL39063 Pharmacogenomics Testing. Please refer to the LCD for reasonable and necessary requirements.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted. The following ICD-10-CM code supports medical necessity and provides coverage for CPT code: 81220.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

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