Elevated D'dimer ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Elevated D'dimer? 

Elevated D-dimer levels are indicators of potential blood clot formation or other underlying medical conditions. Proper coding of such cases is essential for accurate diagnosis and effective patient care. Here are some commonly used ICD-10-CM codes for Elevated D-dimer, along with their clinical descriptions:

R79.1 - Elevated D-dimer:

This code is used when a patient's D-dimer levels are above the normal range. Elevated D-dimer can be associated with various conditions, including deep vein thrombosis, pulmonary embolism, or disseminated intravascular coagulation.

R79.82 - Elevated Natriuretic Peptide Level:

Elevated natriuretic peptide levels, including BNP and NT-proBNP, can indicate heart failure, cardiac stress, or other cardiac-related issues. It is essential to consider this code in patients presenting with symptoms of heart failure and elevated D-dimer.

R79.89 - Other Specified Abnormal Findings of Blood Chemistry:

In cases where D-dimer levels are elevated due to specific factors not covered by other codes, R79.89 can be applied. This code may encompass various medical conditions requiring further investigation and management.

R59.9 - Enlarged Lymph Nodes, Unspecified:

Elevated D-dimer levels can be linked to lymphadenopathy, which may indicate inflammation or malignancy. This code is used when the cause of lymph node enlargement is not specified in the medical records.

R76.11 - Nonspecific Reaction to Tuberculin Skin Test Without Active Tuberculosis:

An elevated D-dimer with a positive tuberculin skin test may suggest latent tuberculosis infection. R76.11 is used when tuberculosis infection is ruled out, but a nonspecific reaction to the skin test is observed.

R77.1 - Abnormal Plasma Protein:

An abnormal increase in plasma proteins, including D-dimer, can be seen in various conditions like multiple myeloma or inflammatory disorders. This code is used when the cause of the abnormal plasma protein elevation is unspecified.

R97.2 - Elevated Carcinoembryonic Antigen (CEA):

Elevated D-dimer levels can be associated with increased carcinoembryonic antigen (CEA) levels in certain cancer patients. This code is applied when elevated CEA and D-dimer are found simultaneously, requiring further evaluation for malignancy.

R76.0 - Raised Serological Test for Syphilis:

Elevated D-dimer levels may occur in patients with untreated or late-stage syphilis. R76.0 is used when syphilis is detected through serological testing and elevated D-dimer is also present.

R07.89 - Other Chest Pain:

Elevated D-dimer with chest pain can indicate acute coronary syndrome or other cardiac issues. This code is used when the chest pain's cause is not specified but requires further investigation.

Z86.71 - Personal History of Pulmonary Embolism:

Patients with a history of pulmonary embolism may exhibit elevated D-dimer levels during follow-up visits or routine testing. This code is applied when a personal history of pulmonary embolism is documented and elevated D-dimer is observed.

Which Elevated D'dimer ICD codes are Billable:

R79.1 - Elevated D-dimer:

Yes, billable. This code specifically identifies elevated D-dimer levels and is used to document and support the presence of this abnormality in the patient's blood work.

R79.82 - Elevated Natriuretic Peptide Level: 

No, not billable for Elevated D-dimer levels. This code is specific to elevated natriuretic peptide levels, which differ from D-dimer levels.

R79.89 - Other Specified Abnormal Findings of Blood Chemistry: 

Yes, billable. This code is used for documenting other specified abnormal blood chemistry findings, including elevated D-dimer levels as one of the abnormalities.

R59.9 - Enlarged Lymph Nodes, Unspecified: 

No, not billable for Elevated D-dimer levels. This code indicates enlarged lymph nodes and is not specific to elevated D-dimer levels.

R76.11 - Nonspecific Reaction to Tuberculin Skin Test Without Active Tuberculosis: 

No, not billable for Elevated D-dimer levels. This code indicates a nonspecific reaction to a tuberculin skin test and does not capture elevated D-dimer levels.

R77.1 - Abnormal Plasma Protein: 

Yes, billable. This code documents abnormal plasma protein levels, including elevated D-dimer levels as one of the abnormalities.

R97.2 - Elevated Carcinoembryonic Antigen (CEA): 

No, not billable for Elevated D-dimer levels. This code is specific to elevated carcinoembryonic antigen levels and does not cover elevated D-dimer levels.

R76.0 - Raised Serological Test for Syphilis: 

No, not billable for Elevated D-dimer levels. This code indicates raised serological test results for syphilis and does not capture elevated D-dimer levels.

R07.89 - Other Chest Pain: 

No, not billable for Elevated D-dimer levels. This code is used for documenting other specified chest pain and is not specific to elevated D-dimer levels.

Z86.71 - Personal History of Pulmonary Embolism: 

No, not billable for Elevated D-dimer levels. This code indicates a personal history of pulmonary embolism and does not represent elevated D-dimer levels.

Clinical Information

Elevated D-dimer levels are a crucial clinical indicator for ongoing or recent blood clot formation and breakdown. Understanding the significance of elevated D-dimer levels is essential for accurate diagnosis and management. Key clinical insights provided by elevated D-dimer levels include:

• Elevated D-dimer levels indicate recent or ongoing blood clot formation and breakdown. D-dimer is a protein fragment produced when blood clots dissolve. Elevated levels suggest that clotting processes have been activated in the body.
• It is a non-specific marker associated with conditions like deep vein thrombosis (DVT), pulmonary embolism (PE), disseminated intravascular coagulation (DIC), and inflammatory processes. These conditions can lead to the release of D-dimer into the bloodstream.
•  D-dimer testing aids in diagnosing and ruling out venous thromboembolism (VTE), which includes DVT and PE. A positive D-dimer test indicates the need for further imaging studies, such as ultrasound or CT scan, to confirm the presence of blood clots.
• Other factors such as heart failure, liver disease, certain cancers, recent surgery, and pregnancy can also elevate D-dimer levels. These conditions can induce an inflammatory response or cause an increase in clotting factors, resulting in elevated D-dimer.
• Clinical correlation, medical history, and additional tests are necessary for the accurate interpretation of D-dimer results. D-dimer levels should be evaluated regarding the patient's symptoms, risk factors, and other diagnostic findings to determine the underlying cause and guide appropriate management decisions.

Synonyms Include:

• Increased D-dimer
• Elevated fibrin degradation products
• Raised D-dimer levels
• High D-dimer concentrations
• Abnormally elevated D-dimer