R82.992
Hyperoxaluria
Clinical Classification Guidelines
Excludes Type 1
- primary hyperoxaluria (E72.53-)
- secondary hyperoxaluria (E72.54-)
Medical Intelligence & Overview
Hyperoxaluria is a medical condition characterized by an excessive amount of oxalate in the urine. Oxalate is a natural substance found in many foods and produced as a waste product by the body. Elevated levels can lead to the formation of kidney stones and other urinary tract issues. Recognizing and managing hyperoxaluria is important to prevent potential complications such as kidney damage.
Causes & Symptoms
Clinical Causes: Genetic disorders affecting oxalate metabolism, such as primary hyperoxaluria High intake of oxalate-rich foods, including spinach, rhubarb, nuts, and tea Malabsorption syndromes like Crohn's disease or celiac disease Excessive vitamin C intake, which can be converted to oxalate in the body Certain intestinal surgeries that alter absorption Chronic kidney disease, which impairs oxalate clearance Other metabolic disorders that disrupt normal oxalate processing
Key Symptoms: Kidney stones, often causing severe pain in the back or abdomen Frequent urinary tract infections Hematuria, or blood in the urine Urinary urgency or burning sensation during urination Nausea and vomiting if kidney stones cause significant discomfort Possible signs of kidney damage in advanced cases, such as swelling or fatigue
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves laboratory tests measuring oxalate levels in urine over a 24-hour period, along with blood tests to assess kidney function. Imaging studies like ultrasound or CT scans help identify the presence of kidney stones or other abnormalities. Medical history and dietary assessments are also important to determine underlying causes.
Treatment Protocols: Managing hyperoxaluria typically includes dietary modifications to limit intake of high-oxalate foods and ensuring adequate hydration to dilute urine. In some cases, medications such as calcium supplements can bind oxalate in the gut, reducing absorption. Treatment may also involve addressing underlying conditions like malabsorption or metabolic disorders. Regular monitoring and medical follow-up are essential to prevent stone formation and protect kidney health.
Clinical Advice & FAQs
Billing Guidance
Is R82.992 a billable ICD-10 code?
Yes, R82.992 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report R82.992?
Clinical documentation must specify the nature of Hyperoxaluria and any associated comorbidities for accurate reporting.
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