Elevated Creatinine ICD-10 Code: R79.89

Last updated: January 31, 2025

Quick Answer

The ICD-10 code for elevated creatinine is R79.89 (Other specified abnormal findings of blood chemistry). Use this code for isolated lab findings of elevated creatinine when CKD has not been diagnosed.

Primary Code Details

CodeDescriptionBillable
R79.89Other specified abnormal findings of blood chemistry
Yes

Related Codes

CodeDescriptionBillable
N18.1Chronic kidney disease, stage 1
Yes
N18.2Chronic kidney disease, stage 2
Yes
N18.3Chronic kidney disease, stage 3
Yes
N17.9Acute kidney failure, unspecified
Yes
R94.4Abnormal results of kidney function studies
Yes

Documentation Requirements

  • Document the specific creatinine level and reference range
  • Note if this is a new finding or chronic elevation
  • Document any workup performed to evaluate kidney function
  • If CKD is established, code the specific stage instead of R79.89

Common Coding Scenarios

Incidental Elevated Creatinine

Documentation:

"Lab results show creatinine 1.5 mg/dL (reference 0.7-1.3). No prior history of kidney disease. Ordering additional workup."

Code:

R79.89 - Other specified abnormal findings of blood chemistry

Rationale:

Use R79.89 for isolated lab abnormality before CKD diagnosis is established.

Elevated Creatinine with Known CKD

Documentation:

"Patient with CKD stage 3, creatinine elevated at 2.1 mg/dL."

Code:

N18.3 - Chronic kidney disease, stage 3

Rationale:

When CKD is established, code the CKD stage rather than the lab finding. The elevated creatinine is inherent to the CKD diagnosis.

Frequently Asked Questions

What is the ICD-10 code for elevated creatinine?

R79.89 (Other specified abnormal findings of blood chemistry) is used for elevated creatinine as an isolated lab finding. If CKD is diagnosed, use the appropriate N18 stage code instead.

When should I use R79.89 vs N18 codes?

Use R79.89 when elevated creatinine is an incidental finding without an established CKD diagnosis. Once CKD is diagnosed and staged, use the appropriate N18.x code.

Is elevated BUN coded the same as elevated creatinine?

Yes, R79.89 can be used for other abnormal blood chemistry findings including elevated BUN. Document the specific abnormality in the clinical record.

Related Resources

Last updated: January 2025. Code data reflects ICD-10-CM 2026 version. This guide is for educational purposes only. Always verify codes against current official guidelines.