2025 ICD-10-CM code R88.0
Cloudy dialysis effluent, including both hemodialysis and peritoneal dialysis.
Medical necessity for further investigation and treatment is established by the presence of cloudy dialysis effluent, which could indicate a serious underlying condition such as infection or malignancy.The documentation should support the medical necessity of the diagnostic and therapeutic procedures performed.
Clinicians are responsible for identifying the underlying cause of cloudy dialysis effluent.This may involve laboratory tests, imaging studies, and a review of the patient's medical history.Prompt treatment is essential, especially if peritonitis is suspected.
In simple words: The fluid coming out of the dialysis machine or the fluid from your peritoneal dialysis is cloudy.
Cloudy (hemodialysis) (peritoneal) dialysis effluent. This code signifies an abnormal finding of cloudy effluent from either hemodialysis or peritoneal dialysis, without a definitive diagnosis.
Example 1: A patient undergoing peritoneal dialysis reports abdominal pain and cloudy effluent. The physician suspects peritonitis and orders a cell count and culture of the peritoneal fluid., A patient on hemodialysis has cloudy effluent noted during treatment.Further investigation reveals a catheter infection., A patient receiving peritoneal dialysis has persistently cloudy effluent despite antibiotic treatment for peritonitis.A biopsy reveals malignancy.
Documentation should include the type of dialysis (hemodialysis or peritoneal dialysis), the appearance of the effluent, associated symptoms (e.g., abdominal pain, fever), and results of any diagnostic tests performed (e.g., cell count, culture, biopsy).If peritonitis is suspected, the documentation should support the clinical findings used to reach this conclusion.
** Cloudy dialysis effluent can be caused by a variety of factors, including infection (peritonitis), malignancy, inflammation, and elevated triglyceride levels.It is crucial to distinguish between infectious and non-infectious causes to guide appropriate treatment.
- Specialties:Nephrology
- Place of Service:"End-Stage Renal Disease Treatment Facility", "Inpatient Hospital", "Outpatient Hospital"