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Home/Diagnosis/ICD-10 Coding for Elevated Alkaline Phosphatase

ICD-10 Coding for Elevated Alkaline Phosphatase

R74.8
K83.1
M88.9

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

Also Known as:
Elevated ALP
High Alkaline Phosphatase
alkaline phosphatase elevation
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Key Information: ICD-10 Coding for Elevated Alkaline Phosphatase

Essential facts and insights about ICD-10 Coding for Elevated Alkaline Phosphatase

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:
  • • ALP elevation with normal liver and bone markers
coding:
  • • No underlying condition identified
documentation:
  • • Documented ALP value and absence of other conditions

Applicable To

  • • Isolated elevated alkaline phosphatase

Important Notes

  • • Ensure documentation specifies the absence of liver or bone disease when using R74.8.

Obstructive cholestasis

Billable Code
K83.1
Billable

Diagnostic Criteria

clinical:
  • • ALP >4x ULN
  • • Dilated bile ducts on ultrasound

Applicable To

  • • Bile duct obstruction

Important Notes

  • • Ensure imaging findings are documented.

Paget's disease of bone, unspecified

Billable Code
M88.9
Billable

Diagnostic Criteria

clinical:
  • • ALP >3x ULN
  • • X-ray shows 'flame-shaped' lytic lesions

Applicable To

  • • Paget's disease with bone pain

Important Notes

  • • Document specific imaging findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

E78.41

Elevated lipoprotein(a)

Use for cardiovascular risk stratification when ALP is normal.

Frequently Asked Questions

What is the ICD-10 code for elevated alkaline phosphatase?

The ICD-10 code for elevated alkaline phosphatase is R74.8, used when no underlying condition is identified.

When should R74.8 be used as a primary code?

R74.8 should be used as a primary code when elevated alkaline phosphatase is the main finding without a known underlying condition.

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