R78ActuelleCatégorie · précision supplémentaire requise

Findings of drugs and other substances, not normally found in blood

Instructions du code

Use additional code

code to identify the any retained foreign body, if applicable (Z18.-)

Excludes 2 · 12

R78

Excludes 2

mental or behavioral disorders due to psychoactive substance use (F10-F19)

Chapitres 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

R70-R79 · Abnormal findings on examination of blood, without diagnosis (R70-R79)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
abnormalities of lipids (E78.-)
abnormalities of platelets and thrombocytes (D69.-)
abnormalities of white blood cells classified elsewhere (D70-D72)
coagulation hemorrhagic disorders (D65-D68)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index
hemorrhagic and hematological disorders of newborn (P50-P61)

Codes plus précis

R78.0Finding of alcohol in blood R78.1Finding of opiate drug in blood R78.2Finding of cocaine in blood R78.3Finding of hallucinogen in blood R78.4Finding of other drugs of addictive potential in blood R78.5Finding of other psychotropic drug in blood R78.6Finding of steroid agent in blood R78.7Finding of abnormal level of heavy metals in blood R78.8Finding of other specified substances, not normally found in blood R78.9Finding of unspecified substance, not normally found in blood

Facturation et couverture

Quand ICD-10-CM est obligatoire

Pour les demandes de remboursement américaines soumises à HIPAA, ICD-10-CM est obligatoire pour les diagnostics depuis le 1er octobre 2015.

Utilisez la date des soins en ambulatoire et pour les actes professionnels, et la date de sortie pour les séjours hospitaliers. Les soins antérieurs relèvent d’ICD-9-CM ; chaque code doit aussi être valable à la date concernée.

Directives officielles de codage → · CMS ↗

Première observation · 2015-10-01

Historique du code

Dernière modification enregistrée · FY2027

ModifiéInchangé

FY2027À venir

En vigueur dès le 2026-10-01

Instructions du code modifiées

Findings of drugs and other substances, not normally found in blood

Catégorie — choisir un code plus précis

CDC/NCHS · FY2027

Toutes les éditions (19)

Toutes les éditions	En vigueur dès le	Historique du code
FY2016	2015-10-01	Première observation
FY2017	2016-10-01	Instructions héritées modifiées
FY2018	2017-10-01	Aucun changement tabulaire
FY2019	2018-10-01	Aucun changement tabulaire
FY2020	2019-10-01	Aucun changement tabulaire
FY2020 · April	2020-04-01	Aucun changement tabulaire
FY2021	2020-10-01	Aucun changement tabulaire
FY2021 · 01-01	2021-01-01	Aucun changement tabulaire
FY2022	2021-10-01	Aucun changement tabulaire
FY2022 · 04-01	2022-04-01	Aucun changement tabulaire
FY2023	2022-10-01	Aucun changement tabulaire
FY2023 · 04-01	2023-04-01	Aucun changement tabulaire
FY2024	2023-10-01	Instructions du code modifiées
FY2024 · 04-01	2024-04-01	Aucun changement tabulaire
FY2025	2024-10-01	Aucun changement tabulaire
FY2025 · 04-01	2025-04-01	Aucun changement tabulaire
FY2026	2025-10-01	Aucun changement tabulaire
FY2026 · April	2026-04-01	Aucun changement tabulaire
FY2027	2026-10-01	Instructions du code modifiées

Instructions du code

Excludes 2

mental or behavioral disorders due to psychoactive substance use (F10-F19)

Use additional code

code to identify the any retained foreign body, if applicable (Z18.-)

Instructions des niveaux supérieurs

Chapitres 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

R70-R79 · Abnormal findings on examination of blood, without diagnosis (R70-R79)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
abnormalities of lipids (E78.-)
abnormalities of platelets and thrombocytes (D69.-)
abnormalities of white blood cells classified elsewhere (D70-D72)
coagulation hemorrhagic disorders (D65-D68)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index
hemorrhagic and hematological disorders of newborn (P50-P61)

Codes plus précis

R78.0Finding of alcohol in bloodCode facturable et spécifique R78.1Finding of opiate drug in bloodCode facturable et spécifique R78.2Finding of cocaine in bloodCode facturable et spécifique R78.3Finding of hallucinogen in bloodCode facturable et spécifique R78.4Finding of other drugs of addictive potential in bloodCode facturable et spécifique R78.5Finding of other psychotropic drug in bloodCode facturable et spécifique R78.6Finding of steroid agent in bloodCode facturable et spécifique R78.7Finding of abnormal level of heavy metals in bloodCatégorie · précision supplémentaire requise R78.8Finding of other specified substances, not normally found in bloodCatégorie · précision supplémentaire requise R78.9Finding of unspecified substance, not normally found in bloodCode facturable et spécifique

Codes associés

Les intitulés et instructions officiels sont conservés dans la langue source. Sources officielles ↗

Chapitres 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.