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Home/Diagnosis/ICD-10 Coding for Amylase

ICD-10 Coding for Amylase

R74.8
K85.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for amylase includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Serum Amylase
Pancreatic Amylase
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Key Information: ICD-10 Coding for Amylase

Essential facts and insights about ICD-10 Coding for Amylase

Use ICD-10 code R74.8 for abnormal levels of other serum enzymes, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Abnormal levels of other serum enzymes

Billable Code
R74.8
Billable

Diagnostic Criteria

clinical:
  • • Amylase levels elevated but lipase normal and no imaging evidence of pancreatitis.
coding:
  • • No definitive diagnosis of pancreatitis present.

Applicable To

  • • Elevated amylase

Important Notes

  • • Ensure documentation supports the absence of pancreatitis when using R74.8.

Acute pancreatitis, unspecified

Non-Billable
K85.9
Non-Billable

Diagnostic Criteria

clinical:
  • • Lipase ≥3x ULN
  • • Imaging evidence of pancreatitis

Applicable To

  • • Acute pancreatitis

Important Notes

  • • Ensure all three ACG criteria are documented for acute pancreatitis.
Ancillary Codes

Additional codes that may be used with this diagnosis

K86.1

Chronic pancreatitis

Use when chronic pancreatitis is diagnosed with structural damage.

Frequently Asked Questions

What is the ICD-10 code for elevated amylase?

The ICD-10 code for elevated amylase is R74.8, used when amylase levels are abnormal without a definitive diagnosis of pancreatitis.

When should R74.8 be used?

R74.8 should be used when amylase levels are elevated but there is no clinical or imaging evidence of pancreatitis.

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