Basic ICD-9-CM Coding Workshops TEST Acid Phosphate Albumin Alkaline phosphatase Amylase Bilirubin, total Bilirubin, indirect Blood Urea Nitrogen (BUN) Calcium Carbon Dioxide Chloride Lab Values INCREASED IN metastatic carcinoma of bone, prostatic carcinoma, hepatobiliary diseases, hyperparathyroidism, certain liver diseases, myocardial infarction, pulmonary embolism dehydration, shock, multiple myeloma biliary duct obstruction, healing fractures, hyperparathyroidism, osteomalacia, rickets, neoplastic bone disorders, liver diseases acute pancreatitis, obstruction of pancreatic ducts, mumps, intestinal obstruction biliary duct obstruction, acute or chronic hepatitis, toxic reaction to many drugs and chemicals, infectious mononucleosis hemolytic anemia, hemorrhagic pulmonary infarcts gastrointestinal hemorrhage, dehydration, renal insufficiency metastatic carcinoma of bone, lung and breasts, Paget’s disease, hyperparathyroidism, hypervitaminosis D respiratory diseases, intestinal obstruction, vomiting renal insufficiency, nephrosis, dehydration, renal tubular acidosis, Cushing’s syndrome, hyperventilation Cholesterol biliary duct obstruction, diabetes mellitus, hypothyroidism, nephrosis Creatine Phosphokinase (CPK) Creatinine Erthrocyte Count (RBC count) ESR Glucose (fasting) acute myocardial infarction, brain infarction, muscular dystrophies, traumatic injury to muscles kidney diseases, acute or chronic renal insufficiency, urinary tract obstruction acute hepatitis, acute myocardial infarction, pelvic inflammatory disease, menstruation, rheumatoid arthritis, ruptured ectopic pregnancy, tuberculosis rheumatic activity and (ESR) infections diabetes mellitus, IV therapy, hyperthyroidism, hyperpituitarism, liver diseases, nephritis June 2013 Irene Mueller DECREASED IN malnutrition, acute or chronic glomerulonephritis, neoplastic diseases, leukemia, severe burns hypoparathyroidism, hypothyroidism acute and chronic hepatitis, pancreatic insufficiency, toxemia during pregnancy, cirrhosis of liver hepatic failure, cachexia severe pancreatitis, renal insufficiency, uremia, malabsorption, osteomalacia, hypoparathyroidism acidosis, nephritis, diarrhea congestive heart failure, chronic renal failure, diabetic acidosis, diarrhea, excessive sweating, pulmonary emphysema acute hepatitis and Gaucher’s disease, pernicious anemia anemias, leukemias, and following severe hemorrhage polycythemia, sickle cell anemia hyperinsulinism, hypothyroidism, Addison’s disease Basic ICD-9-CM Coding Workshops Lab Values Hematocrit Addison’s disease, dehydration, polycythemia due to dehydration, shock Hemoglobin dehydration, pernicious anemia, sickle cell anemia, thalassemia, polycythemia, obstructive pulmonary diseases, congestive heart failure Iron anemias, liver disease Lactose Dehydrogenase acute myocardial infarction, diseases of muscles, infectious hepatitis, (LDH) malignant tumors, hemolytic anemias, pernicious anemia, acute leukemias, widespread carcinoma Leukocyte Count (WBC) acute infections, leukemias, acute hemorrhage June 2013 Irene Mueller anemia and following severe hemorrhage excessive fluid intake, iron deficiency anemia, pregnancy iron deficiency anemia x-ray irradiation Magnesium renal insufficiency, administration of antacids with magnesium Phosphorous renal insufficiency, excessive ingestion of Vitamin D, healing fractures, hypoparathyroidism iron deficiency anemia, malignancies (50 percent of all patients), patients recently having surgery (especially splenectomies), polycythemia renal insufficiency, adrenal insufficiency, Addison’s disease, hypoventilation hepatic insufficiency, chronic diarrhea, chronic alcoholism chronic alcoholism, hyperalimentation, ketoacidosis, hyperparathyroidism thrombocytopenic purpura, acute leukemia, aplastic anemia chronic diarrhea, vomiting or malabsorption syndrome, use of thiazide diuretics, diabetic acidosis, chronic kidney disease malnutrition nephrosis, neoplastic disease and leukemia, malabsorption syndrome Platelet Count Potassium Proteins, total Albumin dehydration, shock Proteins, total Globulin hepatic disease, plasma cell neoplasms, lupus, malaria Prothrombin Time Serum Iron Prolonged In: circulating anticoagulants, inadequate Vitamin K in diet, severe liver damage, poor fat absorption, (that is, colitis, chronic diarrhea) Presence of reticulocytes is a response to the need for red cells. This response is characteristic of hemolytic anemias and in acute and severe bleeding. hemolytic anemia, thalassemia Sedimentation Rate SGOT SGPT Uric Acid infectious diseases, menstruation, pregnancy, as a result of tissue damage acute myocardial infarction, liver disease, skeletal muscle disease acute hepatitis, acute myocardial infarction, liver necrosis gout, leukemia, renal insufficiency, polycythemia, pneumonia, chemotherapy Reticulocyte Count Lab Tests Online http://labtestsonline.org/ chemotherapy, shock, cachexia metastatic carcinoma of prostate, leukemia, acute and chronic hepatic insufficiency, accidents of pregnancy iron deficiency anemia, normochromic anemia acute hepatitis