No, the V70.0 is for the physical examination only. You will not code that. For a creatinine needed/required before a CT test you will want to use a V72.63 for Pre-procedural laboratory examination.
Full Answer
All inpatients require a current (within one week) creatinine level or estimated glomerular filtration rate (eGFR) prior to an IV contrast-enhanced CT. Outpatients being scheduled for a CT with IV contrast will not require a serum creatinine unless they meet one of the following criteria: Over 60 years old.
ICD-9-CM Procedure 87.03 converts approximately to: 2021 ICD-10-PCS B02000Z Computerized Tomography (CT Scan) of Brain using High Osmolar Contrast, Unenhanced and Enhanced
Who must have a creatinine level prior to IV contrast? All inpatients require a current (within one week) creatinine level or estimated glomerular filtration rate (eGFR) prior to an IV contrast-enhanced CT. Outpatients being scheduled for a CT with IV contrast will not require a serum creatinine unless they meet one of the following criteria:
BUN to Creatinine Ratio. The book "Brenner and Rector's the Kidney" indicates that practitioners prefer to see BUN-to-creatinine ratios of less than 20 to 1 before administering CT contrast material.
ICD-10-CM Diagnosis Code R97 R97.
Abnormal results of kidney function studies R94. 4 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 R94. 4 became effective on October 1, 2021.
ICD-10 code: E13. 9 Other specified diabetes mellitus Without complications.
ICD-10 code R79. 89 for Other specified abnormal findings of blood chemistry is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
An increased level of creatinine may be a sign of poor kidney function. Serum creatinine is reported as milligrams of creatinine to a deciliter of blood (mg/dL) or micromoles of creatinine to a liter of blood (micromoles/L).
Encounter for screening for other metabolic disorders The 2022 edition of ICD-10-CM Z13. 228 became effective on October 1, 2021.
Type 1 Diabetes Mellitus (Juvenile Diabetes) Type 1 Diabetes Mellitus is an “insulin” dependent disease; therefore, DO NOT add the ICD-10 code Z79. 4 (long term, current insulin use) with Type 1 Diabetes mellitus (Category E10* codes). There can be more than one complication associated with diabetes mellitus.
21 and E11. 22 have an excludes 1 notes therefore they can be coded together as long as a separate renal manifestation is present, I would just be careful when coding the actual renal condition as there are some renal codes that are excluded when using CKD codes.
Q&A: Reporting diabetes, CKD, and HTN in ICD-10-CME11. 649, Type 2 diabetes mellitus with hypoglycemia without coma.G93. 41, metabolic encephalopathy.E11. 22, Type 2 diabetes mellitus with diabetic CKD.I12. 9, hypertensive CKD with stage 1 through 4 CKD, or unspecified CKD.N18. 2, CKD, stage 2 (mild)
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
The book "Brenner and Rector's the Kidney" indicates that practitioners prefer to see BUN-to-creatinine ratios of less than 20 to 1 before administering CT contrast material. Ratio elevations greater than 20:1 are indicative of prerenal azotemia and may lead to acute tubular necrosis if contrast is applied. Under most circumstances, elevated BUN:Cr ratios are due to dehydration, which is a risk factor for contrast renal toxicity.
An article published in "Advances for Imaging & Radiation Oncology" explains that creatinine comes from the diet as well as the metabolism of a skeletal muscle organic acid called creatine. The filtration of creatinine is one of the most important markers of kidney function. Normal creatinine levels fall below 1.3 mg/dL.
Normal concentrations of BUN in an adult fall between 8 and 25 milligrams per decaliter, mg/dL.