R78.71

R78.71: Abnormal lead level in blood

Billable / specific codeICD-10-CM

R78.71 is a billable, specific ICD-10-CM code for abnormal lead level in blood. It is valid for submission on a claim.

Check R78.71 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

lead poisoning (T56.0-)

Excludes2 inherited from the categories above R78.71

Not part of this code, but both may be coded when both are present.

Written on R78: Findings of drugs and other substances, not normally found in blood

mental or behavioral disorders due to psychoactive substance use (F10-F19)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R78.71 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56686Billing and Coding: HbA1c
A57189Billing and Coding: Serum Magnesium
A59186Billing and Coding: Magnesium

Alphabetic index entries that lead here

Findings, abnormal, inconclusive, without diagnosis›in blood›lead

Code history

Unchanged in every release from FY2024 to FY2027.