R78即将生效类别：需要更具体的编码

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

编码说明

Use additional code

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

Excludes 2 · 12

R78

Excludes 2

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

章节 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)

更具体的编码

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

账单与保险保障

何时必须使用ICD-10-CM

自2015年10月1日起，受HIPAA约束的美国诊断理赔必须使用ICD-10-CM。

门诊和专业服务理赔使用服务日期，住院理赔使用出院日期。此前的就诊使用ICD-9-CM；具体编码也必须在相应日期有效。

官方编码指南 → · CMS ↗

首次收录 · 2015-10-01

编码历史

最近记录的变更 · FY2027

已变更无变更

FY2027即将生效所选版本

生效日期 2026-10-01

编码说明变更

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

类别 — 请选择更具体的编码

CDC/NCHS · FY2027

所有版本 (19)

所有版本	生效日期	编码历史
FY2016	2015-10-01	首次收录
FY2017	2016-10-01	上级说明变更
FY2018	2017-10-01	分类表无变更
FY2019	2018-10-01	分类表无变更
FY2020	2019-10-01	分类表无变更
FY2020 · April	2020-04-01	分类表无变更
FY2021	2020-10-01	分类表无变更
FY2021 · 01-01	2021-01-01	分类表无变更
FY2022	2021-10-01	分类表无变更
FY2022 · 04-01	2022-04-01	分类表无变更
FY2023	2022-10-01	分类表无变更
FY2023 · 04-01	2023-04-01	分类表无变更
FY2024	2023-10-01	编码说明变更
FY2024 · 04-01	2024-04-01	分类表无变更
FY2025	2024-10-01	分类表无变更
FY2025 · 04-01	2025-04-01	分类表无变更
FY2026	2025-10-01	分类表无变更
FY2026 · April	2026-04-01	分类表无变更
FY2027	2026-10-01	编码说明变更

编码说明

Excludes 2

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

Use additional code

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

上级编码说明

章节 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)

更具体的编码

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

编码说明

R78

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

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

更具体的编码

账单与保险保障

编码历史

所有版本 (19)

编码说明

上级编码说明

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

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

更具体的编码

相关编码

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

编码说明

R78

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

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

更具体的编码

账单与保险保障

编码历史

所有版本 (19)

编码说明

上级编码说明

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

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

更具体的编码

相关编码