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ICD-10 Coding for Elevated Lactate(R74.02, E87.2, R65.21)

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Learn about ICD-10 coding for elevated lactate, including code R74.02 for hyperlactatemia and E87.2 for lactic acidosis. Understand documentation requirements and coding pitfalls.

Also known as:
HyperlactatemiaLactic Acidosis
Related ICD-10 Code Ranges

Complete code families applicable to Elevated Lactate

R00-R99Primary Range

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
R74.02Elevated lactic acid level
E87.2Acidosis
Primary ICD-10-CM Codes
Elevation of levels of lactic acid dehydrogenase [LDH]
R74.02Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

AcidosisE87.2
Severe sepsis with septic shockR65.21

Documentation & Coding Risks

Avoid these common issues when documenting Elevated Lactate.

Documenting 'elevated lactate' without context

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.

Mitigation

Always include clinical context., Specify if acidosis or shock is present.

Coding E87.2 with R65.21

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Violates Excludes1 note., Data Quality: Impacts clinical data accuracy.

Mitigation

Use R65.21 alone for septic shock.

Incorrect coding of lactic acidosis

Impact

Coding E87.2 with septic shock can trigger audits.

Mitigation

Review Excludes1 notes and ensure correct code selection.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with R74.02.