Icd 10 Elevated Liver Functions

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ICD-10 Elevated Liver Functions: A Comprehensive Guide for Healthcare Professionals



Introduction:

Elevated liver function tests (LFTs) are a common clinical finding, often prompting further investigation to determine the underlying cause. Understanding how to accurately code these findings using the International Classification of Diseases, 10th Revision (ICD-10) is crucial for healthcare providers. This comprehensive guide will delve into the nuances of ICD-10 coding for elevated liver functions, exploring various causes, relevant codes, and best practices for accurate documentation. We'll break down the complexities, providing clarity and ensuring you're equipped to handle these cases with confidence.


I. Understanding Liver Function Tests (LFTs) and Their Clinical Significance:

Liver function tests measure the levels of various enzymes and proteins in the blood. Abnormal elevations can indicate a wide range of liver conditions, from relatively benign issues to serious diseases requiring immediate attention. Key LFTs include:

Alanine aminotransferase (ALT): Primarily found in the liver, elevated ALT suggests liver cell damage.
Aspartate aminotransferase (AST): Found in the liver, heart, and muscles; an elevated AST, especially in conjunction with ALT elevation, strongly points towards liver injury.
Alkaline phosphatase (ALP): Elevated ALP can indicate biliary obstruction or bone disorders.
Gamma-glutamyl transferase (GGT): Elevated GGT often suggests liver or biliary disease, and can be helpful in differentiating causes of elevated ALP.
Bilirubin: Elevated bilirubin levels lead to jaundice and indicate impaired liver function or biliary obstruction.
Albumin: Low albumin levels indicate chronic liver disease or malnutrition.


II. ICD-10 Codes for Elevated Liver Functions: A Detailed Breakdown:

It's crucial to understand that simply elevated LFTs are not directly coded. Instead, you must identify and code the underlying cause of the elevated liver enzymes. The ICD-10 codes will depend on the specific diagnosis reached after a comprehensive evaluation, including patient history, physical examination, and additional diagnostic tests (e.g., imaging, biopsies). Here are some examples:

Viral Hepatitis (A, B, C): Specific codes exist for each type of viral hepatitis (e.g., B18.1 for Hepatitis B, K75 for chronic Hepatitis C). The severity and stage of the disease will influence code selection.
Alcoholic Liver Disease (ALD): Codes will vary depending on the stage of ALD, ranging from fatty liver disease (K70.0) to cirrhosis (K70.3).
Non-alcoholic Fatty Liver Disease (NAFLD): Coded as K75.8 – other specified chronic diseases of the liver. Further specification may be needed to reflect steatohepatitis (NASH) if present.
Drug-induced Liver Injury (DILI): These require careful documentation of the causative medication and the specific type of liver injury (e.g., hepatocellular, cholestatic). Codes will depend on the specific manifestation, but may include K70-K76.
Autoimmune Hepatitis: Coded under K74 - Autoimmune disorders of the liver. Specific subtypes (e.g., type 1, type 2) should be specified when possible.
Genetic Liver Diseases: These conditions (e.g., Wilson's disease, hemochromatosis) have specific ICD-10 codes that reflect the specific genetic disorder.
Cirrhosis: K70.3 - Cirrhosis of the liver is a common end-stage result of many liver diseases.
Hepatocellular Carcinoma (HCC): C22.0 - HCC requires a specific code as it represents a malignant tumor of the liver.

III. Accurate Documentation and Coding Practices:

Accurate documentation is paramount for proper ICD-10 coding. Ensure your clinical notes clearly reflect:

Patient's history: Relevant medical history, including alcohol consumption, medication use, family history of liver disease, and potential exposures to hepatotoxic substances.
Physical examination findings: Note any jaundice, hepatomegaly, ascites, or other relevant physical exam findings.
Laboratory results: Document the exact values of all LFTs, along with other relevant blood tests.
Imaging studies: Include findings from ultrasound, CT scans, MRI, or other imaging studies that may help clarify the diagnosis.
Biopsy results (if performed): Detailed histological findings from liver biopsies are essential for accurate diagnosis and coding.


IV. Potential Pitfalls and Common Coding Errors:

Avoid common errors such as:

Coding elevated LFTs without a specific diagnosis: This is incorrect. You must code the underlying cause, not just the abnormal lab results.
Using non-specific codes: Always strive for the most specific code possible to reflect the patient's condition.
Failing to document supporting clinical information: Adequate documentation is crucial for supporting your code choices.
Ignoring the severity and stage of the disease: The stage of a disease, such as cirrhosis, significantly impacts code selection.


V. Staying Up-to-Date with ICD-10 Coding Changes:

The ICD-10 code set is periodically updated. Staying informed about these changes is essential for accurate and compliant coding. Consult authoritative sources for the most current information.



Article Outline: ICD-10 Elevated Liver Functions

I. Introduction
Hook the reader with a compelling statement about the significance of accurate ICD-10 coding for elevated liver function tests.
Briefly overview the content of the article.

II. Understanding Liver Function Tests (LFTs)
Define LFTs and their clinical significance.
Explain the individual LFTs (ALT, AST, ALP, GGT, bilirubin, albumin) and their respective roles in assessing liver health.

III. ICD-10 Codes for Elevated Liver Functions
Emphasize that coding is based on underlying causes, not just elevated LFTs.
Provide detailed examples of ICD-10 codes for various liver conditions (viral hepatitis, alcoholic liver disease, NAFLD, drug-induced liver injury, autoimmune hepatitis, genetic liver diseases, cirrhosis, HCC).

IV. Accurate Documentation and Coding Practices
Detail the importance of thorough clinical documentation, including patient history, physical examination, lab results, imaging studies, and biopsy findings.

V. Potential Pitfalls and Common Coding Errors
Highlight common mistakes in coding elevated LFTs and suggest strategies to avoid them.

VI. Staying Up-to-Date with ICD-10 Coding Changes
Stress the importance of continuous learning and staying abreast of updates to the ICD-10 code set.

VII. Conclusion
Reiterate the key takeaways from the article.
Encourage readers to consult reliable resources for further information.


(The content above fulfills the outline.)


FAQs:

1. What are the most common causes of elevated liver enzymes? Viral hepatitis, alcoholic liver disease, non-alcoholic fatty liver disease, and medication side effects are among the most common causes.

2. Can elevated liver enzymes be asymptomatic? Yes, often elevated liver enzymes are discovered incidentally during routine blood tests, with no noticeable symptoms.

3. Is a single elevated LFT significant? Not always. The clinical significance depends on the specific enzyme elevated, the magnitude of the elevation, and the presence of other clinical findings.

4. How are elevated liver enzymes diagnosed? Diagnosis involves a combination of patient history, physical exam, LFTs, imaging studies (ultrasound, CT, MRI), and potentially a liver biopsy.

5. What is the treatment for elevated liver enzymes? Treatment depends entirely on the underlying cause. It might range from lifestyle modifications (diet, alcohol cessation) to antiviral medications, corticosteroids, or even liver transplantation.

6. Can I get my ICD-10 code from my lab results? No. Lab results only show elevated enzymes. A physician must diagnose the underlying cause to assign the correct ICD-10 code.

7. Where can I find the most up-to-date ICD-10 codes? Consult official government websites or reputable medical coding resources.

8. Are there specific ICD-10 codes for different types of liver damage? Yes, different types of liver damage (e.g., hepatocellular, cholestatic) will influence code selection.

9. What happens if the wrong ICD-10 code is used? Incorrect coding can lead to inaccurate billing, delayed or denied insurance reimbursements, and potential legal issues.


Related Articles:

1. ICD-10 Coding for Liver Cirrhosis: A detailed guide on coding various stages and types of cirrhosis.
2. Understanding Non-Alcoholic Fatty Liver Disease (NAFLD): A comprehensive overview of NAFLD, including diagnosis and management.
3. Viral Hepatitis: Diagnosis and Treatment: Covers various viral hepatitis types, diagnostic tests, and treatment options.
4. Alcoholic Liver Disease: Prevention and Treatment Strategies: Focuses on the prevention and management of alcohol-related liver damage.
5. Drug-Induced Liver Injury (DILI): An exploration of DILI, including common culprits and strategies for avoidance.
6. Autoimmune Hepatitis: Diagnosis and Management: A deep dive into autoimmune hepatitis, including its diagnosis, treatment, and prognosis.
7. Interpreting Liver Function Tests (LFTs): A Practical Guide: A guide explaining the interpretation of different liver function tests.
8. Liver Biopsy: Procedure, Risks, and Benefits: Information on liver biopsy procedures and their implications.
9. Advanced Liver Disease: Management and Prognosis: A review of end-stage liver disease, including treatment options and long-term prognosis.


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  icd 10 elevated liver functions: Essentials of Human Diseases and Conditions - E-Book Margaret Schell Frazier, Jeanette Drzymkowski, 2015-09-16 Get a firm grasp of disease and disease process as it relates to your job with Essentials of Human Diseases and Conditions, 6th Edition. Perfectly tailored to the needs to today's medical assistants, this unique text uses simple language and an abundance of learning features as it walks readers through the disease pathology of over 500 common patient conditions. This new sixth edition includes new diseases and conditions, new illustrations, ICD-10-CM codes for every condition, and new critical thinking questions to keep readers up-to-date on the latest pathology topics while helping them apply concepts from the text to clinical practice. - Tenth grade reading level utilizes very approachable language to make the text content easy to digest. - Enrichment boxes relate disease information to everyday practice. - ICD-10-CM codes for each disease give readers ample practice looking up codes in ICD-10-CM. - Current information on the most commonly encountered clinical disorders is presented in small segments for easier understanding. - Full-color illustrations clarify difficult concepts. - Consistent format for all diseases entries walks readers through each step of patient care and treatment, including: - Description - Symptoms and Signs - Patient Screening - Etiology - Diagnosis - Treatment - Prognosis - Prevention - Patient Teaching - Pharmacology appendix details drug names, therapeutic objectives, side effects, and general comments for commonly prescribed drugs. - Alerts highlight safety precautions for physician-based practice. - Review Challenges reinforce content and reveal areas requiring additional study. - Real-life Challenges test readers' ability to apply chapter content to real-world cases. - NEW! Additional diseases and conditions have been added throughout the text to keep readers up to date on the types of diseases and conditions they will encounter on the job. - NEW! Critical thinking questions provide additional opportunities for readers to critically apply the concepts covered in the text.
  icd 10 elevated liver functions: Essentials of Human Diseases and Conditions - E-Book Tracie Fuqua, 2024-10-15 Enhance your patient care with this concise, comprehensive guide to diseases and medical conditions! Essentials of Human Diseases and Conditions, 8th Edition provides a basic knowledge of hundreds of diseases and disorders commonly seen in healthcare settings. Easy-to-understand, easy-to-use information traces the progression of each disease by body system, from signs and symptoms to diagnosis, treatment options, prognosis, and patient education. This edition adds new content on respiratory diseases like SARS-CoV-2, the latest diagnostic and treatment modalities, and new drug treatments. From noted Medical Assisting educator Tracie Fuqua, this practical textbook and handbook prepares you for success in the classroom, on board exams, and as a medical assistant or health professional. - NEW! Content alignment with the 2022 revised competencies for Medical Assisting Education set forth by CAAHEP. - NEW section on supportive care expands the discussion of topics such as home health, palliative, emotional and family guidance, and hospice, for conditions for which there are no cures. - NEW content includes the latest diagnostic measures and treatment modalities, as well as updates on common and new drug treatments. - NEW content on respiratory diseases and conditions includes SARS-CoV-2 and its variants. - NEW! Multiple-choice quiz questions at the end of each chapter provide practice for classroom and board exams. - More than 500 high-quality medical illustrations and clinical photos (many are new or updated) clarify difficult concepts and depict medical conditions. - Concise, consistent monograph-style presentation features body-system chapters that discuss each disease and its description, signs and symptoms, diagnosis, treatment options, prognosis, prevention, and patient teaching. - Critical thinking and real-life application is promoted through Challenge scenarios with questions, Critical Thinking Exercises, and Enrichment boxes. - Alert! boxes provide clinical tips, including safety precautions and best practices. - ICD-10 codes with each disease provide practice in identifying the appropriate insurance codes. - Learning features in each chapter simplify your study with a chapter outline, learning objectives, and key terms. - Learning resources on the Evolve website include multiple-choice and critical thinking questions. - Student workbook includes a wealth of review exercises and practice activities to reinforce your understanding of important concepts from the text. Available separately.
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  icd 10 elevated liver functions: Application of the International Classification of Diseases to Neurology World Health Organization, 1997-10-02 Gives specialists in the clinical neurosciences a detailed and authoritative instrument for coding virtually all recognized neurological conditions. Both neurological diseases and neurological manifestations of general diseases and injuries are included in this comprehensive coding tool. The volume is part of a growing family of specialty-based adaptations of ICD-10 which retain the core codes of the parent classification while providing extended detail at the fifth character and beyond. Now in its second edition ICD-NA has been revised to reflect current clinical concepts in the neurosciences as well as the new coding system introduced with ICD-10. The classification was finalized following extensive consultation with numerous professional organizations and international experts thus ensuring the representation of as many viewpoints as are practical and consistent. While remaining directly compatible with ICD-10 ICD-NA offers clinicians and researchers much greater precision allowing them to match an explicit diagnosis with a detailed code at the five- six or seven-character level. In addition a comprehensive alphabetical index and the extensive use of inclusion and exclusion terms provide considerable assistance in finding the correct category for any condition diagnosed. Apart from these opportunities for recording greater diagnostic detail the direct compatibility with ICD-10 facilitates comparisons between statistics compiled according to ICD-NA and national morbidity and mortality statistics compiled according to ICD-10. These features enhance the flexibility of ICD-NA making it suitable for use in morbidity statistics hospital record indexing and epidemiological research by government and other health agencies collecting statistical data under relatively few main headings or by individual physicians and researchers requiring a convenient tool for indexing their clinical and teaching material in sufficient detail. The revised classification should also facilitate the collection of epidemiological data comparisons of the prevalence of individual neurological diseases and identification of the risk factors for these diseases at both national and international levels. In addition to the detailed tabular list of neurological and related disorders the volume includes an explanation of the basic principles of classification and instructions for coding morphology codes for neoplasms relevant to neurology and neurosurgery and a 90-page index of diagnostic terms given in standard or official nomenclatures together with synonyms and eponyms.
  icd 10 elevated liver functions: 101 Primary Care Case Studies Sampath Wijesinghe, DHSc, MS, MPAS, PA-C, AAHIVS, 2020-12-15 Real-life primary care case studies* from more than 50 primary care providers, including physician assistants, nurse practitioners, and physicians! 101 Primary Care Case Studies offers real-life patient scenarios and critical thinking exercises to help you work through a patient’s chief complaint. Through narrative case studies, you will determine how best to diagnose, treat, and manage your patient based on the history of present illness, review of systems, relevant history, and physical examination findings. This workbook will ask probing questions to help you determine differential and most likely diagnoses, diagnostic tests to order, and appropriate patient management strategies using relevant and timely references to support your decisions. The organization of each case study simulates the patient care journey from chief complaint to outcome. Serving as a virtual clinical preceptor, this workbook can be used independently or in a classroom setting. It is accompanied by a robust online student supplement that provides answers to all questions, real outcomes of the cases, and valuable personal insights from the authors on how the patient was successfully managed. Not only will this workbook help you work through patient cases clinically, it will also share important, but often overlooked, bedside manner skills needed to successfully communicate with and care for your patients. Covering conditions across all organ systems and across the lifespan, this workbook is organized by chief complaint, providing an authentic perspective on what to expect in the patient care environment. It even includes information on pathophysiology and how to use ICD-10 and CPT (E/M) codes in your documentation. The book uniquely weaves together both the science and art of medicine by including personal insights into quality and compassionate care. Key Features Provides real-life patient cases from an interprofessional author team of physician assistants, nurse practitioners, and physicians Uses a templated case study design and critical thinking exercises to help you methodically work through various patient scenarios Teaches clinical and bedside manner skills imperative for delivering quality patient care Covers patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations Offers additional insight on patient education, medical and legal concerns, and interprofessional collaboration Includes a robust online student supplement with valuable insights from the authors on how they successfully managed the cases Provides instructors with a table of contents that is filterable by chief complaint, diagnosis, patient population, and organ system *Details changed to protect patient information.
  icd 10 elevated liver functions: The A-Z Encyclopedia of Alcohol and Drug Abuse Thomas Nordegren, 2002 With more than 30.000 entries The A-Z Enczclopedia on Alcohol and Substance Abuse is the most complete and comprehensive reference book in the field of Substance Abuse. A useful handbbok and working tool for drug abuse professionals. The Encyclopedia is produced in close co-operation with the ICAA, International Council on Alcohol and Addictions, since its inception in 1907 the world's leading professional non-governmental organisation working with drug-abuse related issues.
  icd 10 elevated liver functions: Drug-Induced Liver Injury , 2019-07-13 Drug-Induced Liver Injury, Volume 85, the newest volume in the Advances in Pharmacology series, presents a variety of chapters from the best authors in the field. Chapters in this new release include Cell death mechanisms in DILI, Mitochondria in DILI, Primary hepatocytes and their cultures for the testing of drug-induced liver injury, MetaHeps an alternate approach to identify IDILI, Autophagy and DILI, Biomarkers and DILI, Regeneration and DILI, Drug-induced liver injury in obesity and nonalcoholic fatty liver disease, Mechanisms of Idiosyncratic Drug-Induced Liver Injury, the Evaluation and Treatment of Acetaminophen Toxicity, and much more. - Includes the authority and expertise of leading contributors in pharmacology - Presents the latest release in the Advances in Pharmacology series
  icd 10 elevated liver functions: Diseases in a Flash! Sharon Eagle, 2011-10-14 A clear, friendly writing style breaks complex topics into manageable sections. Inside you’ll find crucial coverage of each disease, including a brief description, ICD-9 code, signs and symptoms, etiology, diagnosis, treatment, and prognosis.
  icd 10 elevated liver functions: Computer Methods in Medicine and Health Care D. Bhattacharjee, 2021-12-03 Computer technology has brought about incredible changes in medicine and healthcare, greatly improving the efficiency and accuracy of medical treatment. Since December 2019, in the face of the global effects of COVID-19, the significance of computer technology, and big data in particular, together with the collaborative network and unmanned technology, has been recognized by healthcare staff everywhere. Modern medical science cannot evolve without the involvement of computer science. This book presents the proceedings of the 2021 Workshop on Computer Methods in Medicine & Health Care (CMMHC 2021), the autumn edition of the TDI conferences, held as a virtual, online event on 24 – 26 September 2021. Researchers from renowned universities, laboratories and hospitals in China, Italy and Japan contributed to the workshop, and findings from both basic and clinical medicine are included in the 14 papers collected here. Big data technology appeared in 20% of all papers as the most popular topic, with one paper covering big data optimization and two describing its application. The book shares practical experiences and enlightening ideas from computer-based medicine and will be of interest to researchers in and practitioners of modern medicine everywhere.
  icd 10 elevated liver functions: Transgender Medicine Leonid Poretsky, Wylie C. Hembree, 2019-02-22 Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature. The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.
  icd 10 elevated liver functions: International statistical classification of diseases and related health problems World Health Organization, 1993
  icd 10 elevated liver functions: ICD-9-CM Coding: Theory and Practice with ICD-10, 2013/2014 Edition - E-Book Karla R. Lovaasen, Jennifer Schwerdtfeger, 2012-08-20 Learn to code effectively with ICD-9-CM medical coding and gain a thorough introduction to ICD-10-CM/PCS coding with one book! ICD-9-CM Coding, 2013/2014 Edition combines basic coding principles with proven, practical insight and the ICD-9-CM and ICD-10-CM/ICD-10-PCS Official Guidelines for Coding and Reporting to prepare you for the upcoming implementation of ICD-10-CM/PCS. Whether you're learning to code for the first time or making the transition from ICD-9-CM to ICD-10-CM/PCS, leading medical coding authors Karla Lovaasen and Jennifer Schwerdtfeger deliver the fundamental understanding you need to succeed in hospital and physician settings. Both ICD-9-CM codes and ICD-10-CM/ICD-10-PCS codes are shown in all coding exercises and examples (including answer keys). Emphasis on ICD-10-CM and ICD-10-PCS coding prepares you for the upcoming implementation of ICD-10. MS-DRG documentation and reimbursement details guide you through this key component of the coding process. Line coding exercises and activities challenge you to apply concepts to solve problems. ICD-10 Official Guidelines for Coding and Reporting (OGCR) are included in each coding chapter, immediately following the ICD-9-CM coding guidelines. Full-color A&P content, disease coverage, procedure guidelines, and drug data ensure that you’re familiar with key topics affecting medical coding. Medical record coverage introduces the records and documents you’ll encounter on the job. Updated Coding Clinic references direct you to the definitive coding resource from the American Hospital Association (AHA). A companion Evolve website provides convenient online access to the OGCR, medical and surgical root operations definitions, a MS-DRG list, partial answer keys, and more.
  icd 10 elevated liver functions: Cumulated Index Medicus , 1999
  icd 10 elevated liver functions: Clinical Guide to the Diagnosis and Treatment of Mental Disorders Michael B. First, Allan Tasman, 2006-07-05 A concise reference providing all the clinically relevant information required to diagnose and treat patients with mental health disorders. A Clinical Guide to the Diagnosis and Treatment of Mental Disorders combines the DSM diagnostic criteria with clear, detailed information on treatment options, listing all drugs available for the disorder and giving full clinical management advice. Each disorder is discussed under the headings of Diagnosis / Differential Diagnosis, including assessment issues, laboratory tests or procedures, gender ratio, prevalence, familial pattern and Treatment, including therapeutic options and practical advice for patient management with the help of tables and treatment flowcharts. The first book on the market to list treatment options and recommendations alongside the DSM-IV classifications of each mental disorder Concise, focused clinical management advice given by the experts, all treatment options are discussed Diagnostic decision trees, treatment flowcharts and algorithms provided for clear management guidance
  icd 10 elevated liver functions: Psychology of Alcohol and Other Drugs John Jung, 2001 This study offers a psychological perspective in the coverage of alcohol and drug-related issues. It examines the contribution of research methodology to outcomes, and offers alternative explanations to alcohol and drug-related issues.
  icd 10 elevated liver functions: Laboratory Screening and Diagnostic Evaluation Kelly Small Casler, DNP, APRN, FNP-BC, CHSE, Kate Sustersic Gawlik, DNP, APRN-CNP, FAANP, 2022-04-25 [the authors] did a masterful job of creating and editing this gold standard book that should be used by all clinicians and incorporated into all nursing and health sciences curriculums. -Bernadette Mazurek Melnyk, PhD, APRN-CNP, FNAP, FAANP, FAAN Vice President for Health Promotion University Chief Wellness Officer Dean and Helene Fuld Health Trust Professor of Evidence-Based Practice, College of Nursing Professor of Pediatrics & Psychiatry, College of Medicine Executive Director, the Helene Fuld Health Trust National Institute for EBP The Ohio State University This is the only book to explicitly guide clinicians through an evidence-based approach to ordering and interpreting laboratory tests. With over 160 commonly ordered tests, this book is designed to foster more accurate clinical decision-making to attain the highest level of patient care. This book summarizes more than 3000 pieces of evidence and incorporates clinical expertise and decision-making on the ordering and interpretation of tests. To promote ease of use, a convenient table maps labs and their corresponding chapter numbers to the relevant body system to promote ease of use. Each laboratory test is presented in a consistent format with information on physiology, indications (screening, diagnosis, and monitoring), algorithms, test interpretation and follow-up testing, patient education, and related diagnoses. Additional valuable features include clinical pearls that highlight common pitfalls and gaps in reasoning, and a cost-benefit analysis. This book also includes CPT and ICD-10 codes, charts and tables for clarification, and references for further study. Key Features: Delivers a strong, evidence-based approach to ordering and interpreting over 160 laboratory tests Promotes accurate clinical decision-making toward achieving the Triple Aim Includes abundant clinical pearls highlighting common pitfalls and gaps in reasoning Provides cost-benefit analysis and discussion of laboratory testing within a high-value healthcare culture Includes 175 supplemental case examples and 200 self-assessment questions to facilitate instruction and learning Includes more than 3000 pieces of evidence from interprofessional resources
  icd 10 elevated liver functions: Phlebotomy Essentials, Enhanced Edition Ruth McCall, 2020-06-23 Phlebotomy Essentials, Enhanced Seventh Edition provides accurate, up-to-date, and practical information and instruction in phlebotomy procedures and techniques, along with a comprehensive background in phlebotomy theory and principles.
  icd 10 elevated liver functions: The 5-Minute Clinical Consult 2020 Sangeeta Sharma, 2019-12-15 Over 250 diagnostic and treatment algorithms over 900 topics providing clinical guidance current evidence-based designations highlighted in each topic at-a-glance format with concise and bulleted text, ICD-10 codes, dsm-5criteria quick information to help in diagnosis, treatment selection and medication dosing easy-to-use reference at point of care providing quick answer to a direct clinical question.
  icd 10 elevated liver functions: Field Guide to the Business of Medicine Christopher Clyne, Britton Jewell, 2018-09-17 Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Today’s health care is much more than Medicine. Health care professionals and administrators must be familiar with the non-medical aspects of health care if they are to be successful. From the basics of government and private insurance, to reimbursement methods, payment models, practice paradigms and new industry trends this indispensable guide provides much-needed information for medical students and residents, emerging health care professionals, and anyone who wants a clear perspective on the requisites, protocols, and regulations of today’s health care system.
  icd 10 elevated liver functions: Seminars in General Adult Psychiatry George Stein, Greg Wilkinson, 2007-04 This second edition of Seminars in General Adult Psychiatry provides a highly readable and comprehensive account of modern adult psychiatry. Key features of the first edition that have been retained are the detailed clinical descriptions of psychiatric disorders, and historical sections to give the reader access to the classic studies of psychiatry as well as the current evidence. Additional topics covered here for the first time include liaison psychiatry, psychosexual medicine, clinical epidemiology, and international and cultural psychiatry. Clinical management is given due prominence, with extensive accounts of modern drug management, cognitive therapy, the main psychosocial approaches, and current guidelines such as those published by the National Institute for Health and Care Excellence. An essential text for trainees studying for their MRCPsych, this book is also a one-stop reference work for established practitioners, providing comprehensive coverage of the whole of adult psychiatry.
  icd 10 elevated liver functions: The Psychiatry of Intellectual Disability Ashok Roy, Meera Roy, David Clarke, 2016-07-12 Comprehensive concise and easily accessible this is the first health economics dictionary of its kind and is an essential reference tool for everyone involved or interested in healthcare. The modern terminology of health economics and relevant terms used by economists working in the fields of epidemiology public health decision management and policy studies are all clearly explained. Combined with hundreds of key terms the skilful use of examples figures tables and a simple cross-referencing system between definitions allows the often complex language of health economics to be demystified.
  icd 10 elevated liver functions: Pediatric Neurology James F Bale Jr, Joshua L Bonkowsky, Francis M Filloux, Gary L Hedlund, Paul D Larsen, Denise C. Morita, 2011-12-15 Recognizing patterns of disease can be the first step to successful management of the child with a neurological problem; this is emphasized by the authors throughout the book. Their concise, precise account reflects the remarkable recent advances in pediatric neurology and related disciplines, while stressing the fundamentals of clinical examination and history taking in reaching an accurate diagnosis. The book begins with a detailed discussion of neurological examination techniques and the basic formulation of differential diagnoses and management, using neuroradiology, electrophysiology, cerebrospinal fluids, genetic and metabolic testing. The second section of the book follows a problem-based approach, just as diseases present in the real world. It employs practical, symptom- and sign-based strategies for virtually all conditions encountered by the practitioner. The final section on neurological emergencies recognizes that such conditions present first to someone other than a pediatric neurologist. This new color handbook is illustrated throughout by a wealth of top-quality clinical photos and imaging, and is of interest to pediatric neurologists, general pediatricians, primary care physicians and emergency physicians, in training and practice.
  icd 10 elevated liver functions: Global Strategy for Health for All by the Year 2000 World Health Organization, 1981-01-01
  icd 10 elevated liver functions: Epidemiology E-Book Leon Gordis, 2013-11-14 Epidemiology, by award-winning educator and epidemiologist Leon Gordis, is a best-selling introduction to this complex science. Dr. Gordis leverages his vast experience teaching this subject in the classroom to introduce the basic principles and concepts of epidemiology in a clear, uniquely memorable way. He guides you from an explanation of the epidemiologic approach to disease and intervention, through the use of epidemiologic principles to identify the causes of disease, to a discussion of how epidemiology should be used to improve evaluation and public policy. It’s your best choice for an accessible yet rich understanding of epidemiology! Gain a solid foundation of basic epidemiologic principles as well as practical applications in public health and clinical practice. Visualize concepts vividly through abundant full-color figures, graphs, and charts. Check your understanding of essential information with 120 multiple-choice epidemiology self-assessment questions. Master the latest nuances in epidemiology thanks to a wealth of new and updated illustrations, examples, and epidemiologic data.
  icd 10 elevated liver functions: Diseases of the Human Body Carol D Tamparo, 2016-02-03 Gain insight on diseases and treatment options for better patient care! Explore human diseases and disorders…from a patient’s perspective! Join the generations of students who have relied on this popular text to introduce them to common human diseases and disorders. Its concise, well-organized approach makes learning about the conditions nearly painless! Quick-reading and easy to follow, the book can help you better understand your patient’s condition and form a plan of care. And it emphasizes the condition from the perspective of the patient, so you can empathize with the patient as you’re providing care. You’ll want to keep this book long after you’ve finished your program!
  icd 10 elevated liver functions: The Complete Medical Assistant Janet Sesser, Deborah L. Westervelt, 2020-07-01 The Complete Medical Assistant, aligned with the latest CAHEEP and ABHES competencies,is your source to transform engaged students into successful medical assistants.
  icd 10 elevated liver functions: Epigenetics of metabolism, immunology and aging Haitao Wang, Xiaofan Lu, Heng Sun, 2023-02-27
  icd 10 elevated liver functions: Assessment and Diagnosis of Personality Disorders Armand W. Loranger, A. Janca, Norman Sartorius, 1997-04-17 The vital guide to reliable diagnosis and assessment of personality disorders internationally.
  icd 10 elevated liver functions: Veterans and Agent Orange National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Board on the Health of Select Populations, Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides (Tenth Biennial Update), 2016-04-29 From 1962 to 1971, the US military sprayed herbicides over Vietnam to strip the thick jungle canopy that could conceal opposition forces, to destroy crops that those forces might depend on, and to clear tall grasses and bushes from the perimeters of US base camps and outlying fire-support bases. Mixtures of 2,4-dichlorophenoxyacetic acid (2,4-D), 2,4,5-trichlorophenoxyacetic acid (2,4,5-T), picloram, and cacodylic acid made up the bulk of the herbicides sprayed. The main chemical mixture sprayed was Agent Orange, a 50:50 mixture of 2,4-D and 2,4,5-T. At the time of the spraying, 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), the most toxic form of dioxin, was an unintended contaminant generated during the production of 2,4,5-T and so was present in Agent Orange and some other formulations sprayed in Vietnam. Because of complaints from returning Vietnam veterans about their own health and that of their children combined with emerging toxicologic evidence of adverse effects of phenoxy herbicides and TCDD, the National Academy of Sciences was asked to perform a comprehensive evaluation of scientific and medical information regarding the health effects of exposure to Agent Orange, other herbicides used in Vietnam, and the various components of those herbicides, including TCDD. Updated evaluations were conducted every two years to review newly available literature and draw conclusions from the overall evidence. Veterans and Agent Orange: Update 2014 is a cumulative report of the series thus far.
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  icd 10 elevated liver functions: International Handbook on Adolescent Health and Development Andrew L. Cherry, Valentina Baltag, Mary E. Dillon, 2016-11-21 This comprehensive reference uses an ecological perspective to sort out the complex mix of biological, psychological, social, and other factors influencing adolescent health as well as shaping professional responses to the needs of adolescents. Describing critical concerns at the global level and innovative strategies from selected countries, the book urges readers to develop and support practices and policies to enhance optimal youth development. Expert coverage centers on key areas: the global state of adolescent health and development, adolescent health issues and public health answers, making health systems more responsive to youth, and improving school health services. And bedrock themes such as social determinants of health, young people’s right to health care, and health and gender disparities are discussed throughout these chapters. Included among the topics: • The epidemiology of adolescent health • Adolescent sexual health and sexuality education • Restorative justice and the mental wellbeing of adolescents • Critical issues in adolescent nutrition: needs and recommendations • Towards an adolescent competent workforce • Pairing children with health services: the changing role of school health services in the 21st century The International Handbook on Adolescent Health and Development is essential to medical schools, public schools, and college libraries; teaching faculty; graduate and post-graduate students in public health, medicine, social work, other behavioral sciences and health disciplines (e.g., nursing, allied heath); as well as practitioners interested in better orienting their services to the health needs of adolescents.
  icd 10 elevated liver functions: Osteosarcopenia: Bone, Muscle and Fat Interactions Gustavo Duque, 2019-11-06 This edited work presents the most current evidence on osteosarcopenia from bench to bedside, which is expected to facilitate the understanding of this syndrome and to develop preventive and therapeutic strategies. With our aging population, chronic diseases such as osteoporosis and sarcopenia are becoming highly prevalent. Fortunately, our understanding of the bone and muscle interactions has increased in recent years. This has allowed to the coining of the term osteosarcopenia to describe a syndrome in which these two diseases overlap. This overlap between osteoporosis and sarcopenia has major negative effects not only on our older adults but also on health systems worldwide. Readers will find a highly translational approach that starts with a summary of recent discoveries on stem cells biology, muscle and bone interactions – including the role of local bone and muscle fat – followed by comprehensive reviews on myokines (i.e. myostatin), osteokines (i.e. osteocalcin) and adipokines (i.e. interleukins) as major players and determinants of bone and muscle loss with aging. In addition, the role of sex steroids (i.e. estrogens, androgens), and calciotropic hormones (i.e. parathyroid hormone, vitamin D) in the pathogenesis of this syndrome is also reviewed. Moreover, using practical diagnostic and therapeutic tips, this book summarizes the clinical characteristics of osteosarcopenic patients thus facilitating the diagnosis and treatment of this syndrome in clinical practice. Finally, the book presents the case for the Falls and Fractures Clinic as the optimal model of care for this syndrome, aimed to avoid fragmentation and optimize osteosarcopenia care, and simultaneously prevent falls and fractures in older persons. This book offers relevant information on the mechanisms of osteosarcopenia, and a practical guide on how to identify and treat this geriatric syndrome and its adverse outcomes, which are dramatically affecting our aging population. The work is written by leaders in the field and is especially suited not only to any researcher in the musculoskeletal arena but also to medical specialists and allied health professionals involved in the care of older persons.