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2025 ICD-10-CM code R85.1

Abnormal hormone levels detected in samples from the digestive system or abdominal cavity.

Refer to the official ICD-10-CM coding guidelines for proper application of this code.Consider the context of the patient's presentation and the purpose of the coding.

Medical necessity is established by the presence of symptoms or clinical findings suggesting hormonal imbalance, warranting further evaluation through laboratory testing.The abnormal hormone levels should be clinically significant and necessitate further investigation and treatment.

The clinical responsibility involves obtaining a sample (e.g., blood, tissue, fluid) from the digestive system or abdominal cavity, performing laboratory analysis to measure hormone levels, interpreting the results in the context of the patient's clinical presentation, and potentially ordering further tests or consultations to establish a diagnosis and treatment plan. This may involve gastroenterologists, endocrinologists, or other specialists depending on the findings.

IMPORTANT:Related codes within the R85 category include R85.0 (Abnormal level of enzymes), R85.2 (Abnormal level of other drugs/substances), R85.3 (Abnormal level of chiefly non-medicinal substances), and other codes within R85.8 (Other specified abnormal findings).

In simple words: This code means that a test on a sample from your digestive system or abdomen showed an unusual level of hormones.More tests will be needed to figure out exactly what is causing this.

This code signifies the presence of abnormal hormone levels identified in specimens obtained from the digestive organs or the abdominal cavity.It encompasses a broad range of hormonal imbalances and requires further investigation to determine the specific hormone(s) affected and the underlying cause.The diagnosis necessitates laboratory testing and may necessitate additional clinical assessments to reach a definitive diagnosis.

Example 1: A patient presents with unexplained weight gain, fatigue, and menstrual irregularities.Blood tests reveal elevated cortisol levels, consistent with Cushing's syndrome. R85.1 might be used as a preliminary code pending further investigations to confirm the diagnosis., A patient undergoes abdominal surgery and peritoneal fluid analysis reveals elevated levels of estrogen.R85.1 is applied to record the abnormal finding prior to establishing the root cause of the hormonal imbalance., A patient with chronic diarrhea undergoes stool testing, which demonstrates abnormal levels of thyroid hormones. R85.1 is used to document this finding until further investigations clarify the etiology and specific hormonal involvement.

Detailed patient history, physical examination findings, results of laboratory tests (specifying the hormone levels and the methodology used), and any additional investigations conducted (e.g., imaging studies, specialist consultations).

** This code is a placeholder for abnormal hormone levels until a definitive diagnosis is established.Further clinical evaluation is mandatory to ascertain the specific hormonal imbalance and its underlying etiology.

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