2020 icd 10 code for hyponatremia

by Lurline Ledner 10 min read

ICD-10 | Hypo-osmolality and hyponatremia (E87. 1)

What is ICD 10 used for?

500 results found. Showing 1-25: ICD-10-CM Diagnosis Code E87.1 [convert to ICD-9-CM] Hypo-osmolality and hyponatremia. Hyponatremia; Hyponatremia (low sodium level); Hyposmolality; syndrome of inappropriate secretion of antidiuretic hormone (E22.2); Sodium [Na] deficiency. ICD-10-CM Diagnosis Code E87.1. Hypo-osmolality and hyponatremia.

How do you code pseudohyponatremia?

Jan 07, 2020 · Hypo-osmolality and hyponatremia 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM E87. Subsequently, question is, what is the ICD 10 code for electrolyte imbalance? E87.8 . Also Know, what is the ICD 10 code for Pseudohyponatremia? ICD-10-CM Diagnosis Code E34 E34.

What is the ICD 10 code for hypotension?

Oct 01, 2021 · Hypo-osmolality and hyponatremia. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. E87.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E87.1 became effective on October 1, 2021.

What is ICD 10 code for hypothyroidism?

Hypo-osmolality and hyponatremia 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM E87. Likewise, what is the ICD 10 code for electrolyte imbalance? E87.8 . Besides, what is the ICD 10 code for Pseudohyponatremia? ICD-10-CM Diagnosis Code E34 E34.

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When do you code hyponatremia?

Hypo-osmolality and hyponatremia

E87. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E87. 1 became effective on October 1, 2021.

What is the ICD 10 code for Hyposmolality and/or hyponatremia?

276.1 - Hyposmolality and/or hyponatremia. ICD-10-CM.

What is DX code E871?

Hypo-osmolality and hyponatremia
E871 - ICD 10 Diagnosis Code - Hypo-osmolality and hyponatremia - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians.

What is the code Z76 89 for?

Z76. 89 is a valid ICD-10-CM diagnosis code meaning 'Persons encountering health services in other specified circumstances'.

What is Hypoosmolality and hyponatremia?

Hyponatremia with hypo-osmolality of serum is produced by retention of water, by loss of sodium or both. It is always maintained by a defect in excretion of free water.

What is the ICD-10 code for hypoxia?

R09.02
ICD-10 code R09. 02 for Hypoxemia is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the ICD-10 code for Hypoalbuminemia?

09.

What's the sodium level?

A normal blood sodium level is between 135 and 145 milliequivalents per liter (mEq/L). Hyponatremia occurs when the sodium in your blood falls below 135 mEq/L.May 23, 2020

What is the ICD-10 code for hypomagnesemia?

ICD-10 | Hypomagnesemia (E83. 42)

Is Z76 89 a billable code?

Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Can Z01 89 be a primary diagnosis?

The code Z01. 89 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

What is CPT code for office visit?

CPT code 99203: Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity.

What is the ICd 10 code for hyponatremia?

Hypo-osmolality and hyponatremia 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM E87.

What is hypoosmolar hyponatremia?

Hypoosmolar hyponatremia is a condition where hyponatremia associated with a low plasma osmolality. The term "hypotonic hyponatremia" is also sometimes used. When the plasma osmolarity is low, the extracellular fluid volume status may be in one of three states: low volume, normal volume, or high volume.

What is the convention of ICd 10?

The conventions for the ICD-10-CM are the general rules for use of the classification independent of the guidelines. These conventions are incorporated within the Alphabetic Index and Tabular List of the ICD-10-CM as instructional notes.

When assigning a chapter 15 code for sepsis complicating abortion, pregnancy, childbirth, and the

When assigning a chapter 15 code for sepsis complicating abortion, pregnancy, childbirth, and the puerperium, a code for the specific type of infection should be assigned as an additional diagnosis. If severe sepsis is present, a code from subcategory R65.2, Severe sepsis, and code(s) for associated organ dysfunction(s) should also be assigned as additional diagnoses.

Do not code diagnoses documented as “probable”, “suspected,” “questionable,” “

Do not code diagnoses documented as “probable”, “suspected,” “questionable,” “rule out,” “compatible with,” “consistent with,” or “working diagnosis” or other similar terms indicating uncertainty. Rather, code the condition(s) to the highest degree of certainty for that encounter/visit, such as symptoms, signs, abnormal test results, or other reason for the visit.

Is the condition on the ICd 10-CM list exempt from reporting?

Condition is on the “Exempt from Reporting” list Leave the “present on admission” field blank if the condition is on the list of ICD-10-CM codes for which this field is not applicable . This is the only circumstance in which the field may be left blank.

What is the code for puerperium?

During pregnancy, childbirth or the puerperium, a patient admitted (or presenting for a health care encounter) because of COVID-19 should receive a principal diagnosis code of O98.5- , Other viral diseases complicating pregnancy, childbirth and the puerperium, followed by code U07.1, COVID-19, and the appropriate codes for associated manifestation (s). Codes from Chapter 15 always take sequencing priority

What is the code for bronchitis?

Bronchitis not otherwise specified (NOS) due to COVID-19 should be coded using code U07.1 and J40, Bronchitis, not specified as acute or chronic.

What is the code for observation for suspected exposure to other biological agents?

For cases where there is a concern about a possible exposure to COVID-19, but this is ruled out after evaluation, assign code Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out.

When should code U07.1 be sequenced first?

When COVID-19 meets the definition of principal diagnosis, code U07.1, COVID-19, should be sequenced first, followed by the appropriate codes for associated manifestations, except in the case of obstetrics patients as indicated in Section . I.C.15.s. for COVID-19 in pregnancy, childbirth, and the puerperium.

What is the code for contact with and (suspected) exposure to other viral communicable diseases?

If a patient with signs/symptoms associated with COVID-19 also has an actual or suspected contact with or exposure to someone who has COVID-19, assign Z20.828, Contact with and (suspected) exposure to other viral communicable diseases, as an additional code. This is an exception to guideline I.C.21.c.1, Contact/Exposure.

WHAT IS THE IMPACT ON READINESS AND FORCE HEALTH PROTECTION?

Exertional hyponatremia continues to pose a health risk to U.S. military members and can significantly impair performance and reduce combat effectiveness.

ABSTRACT

From 2005 through 2020, there were 1,643 incident diagnoses of exertional hyponatremia among active component service members, for a crude overall incidence rate of 7.6 cases per 100,000 person-years (p-yrs).

BACKGROUND

Exertional (or exercise-associated) hyponatremia refers to a low serum, plasma, or blood sodium concentration (below 135 mEq/L) that develops during or up to 24 hours following prolonged physical activity. 1 Acute hyponatremia creates an osmotic imbalance between fluids outside and inside of cells.

METHODS

The surveillance period was 1 January 2005 through 31 December 2020. The surveillance population included all individuals who served in an active component of the U.S. Army, Navy, Air Force, or Marine Corps at any time during the surveillance period.

RESULTS

During 2005–2020, permanent medical facilities recorded 1,643 incident diagnoses of exertional hyponatremia among active component service members, for a crude overall incidence rate of 7.6 cases per 100,000 person-years (p-yrs) (Table 1).

EDITORIAL COMMENT

This report documents that after a period (2015–2017) of decreasing numbers and rates of exertional hyponatremia among active component U.S. military members, numbers and rates of diagnoses increased slightly but steadily during 2018 through 2020.

REFERENCES

1. Hew-Butler T, Rosner MH, Fowkes-Godek S, et al. Statement of the Third International Exercise- Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015. Clin J Sport Med. 2015;25 (4):303–320.

What is exertional hyponatremia?

For this analysis, a case of exertional hyponatremia was defined as 1) a hospitalization or ambulatory visit with a primary (first-listed) diagnosis of “hypo-osmolality and/or hyponatremia” (International Classification of Diseases, 9th Revision [ICD-9]: 276.1; International Classification of Diseases, 10th Revision [ICD-10]: E87.1) and no other illness or injury-specific diagnoses (ICD-9: 001–999) in any diagnostic position or 2) both a diagnosis of “hypo-osmolality and/or hyponatremia” (ICD-9: 276.1; ICD-10: E87.1) and at least 1 of the following within the first 3 diagnostic positions (dx1–dx3): “fluid overload” (ICD-9: 276.9; ICD-10: E87.70, E87.79), “alteration of consciousness” (ICD-9: 780.0*; ICD-10: R40.*), “convulsions” (ICD-9: 780.39; ICD-10: R56.9), “altered mental status” (ICD-9: 780.97; ICD-10: R41.82), “effects of heat/light” (ICD-9: 992.0–992.9; ICD-10: T67.0*–T67.9*), or “rhabdomyolysis” (ICD-9: 728.88; ICD-10: M62.82). 13

How many cases of exertional hyponatremia in Iraq?

From 2008 through 2019, a total of 18 cases of exertional hyponatremia were diagnosed and treated in Iraq and Afghanistan. No new cases were diagnosed in 2019. Deployed service members who were affected by exertional hyponatremia were most frequently male (n=16; 88.9%), non-Hispanic white (n=14; 77.8%), aged 20–24 years (n=8; 44.4%), in the Army (n=13; 72.2%), enlisted (n=15; 83.3%), and in combat-specific (n=7; 38.9%) or communications/intelligence (n=4; 22.2%) occupations (data not shown). During the entire surveillance period, 7 service members were medically evacuated from Iraq or Afghanistan for exertional hyponatremia (data not shown).

How is sodium determined?

Serum sodium concentration is determined mainly by the total content of exchangeable body sodium and potassium relative to total body water. Thus, exertional hyponatremia can result from loss of sodium and/or potassium, a relative excess of body water, or a combination of both. 5,6 However, overconsumption of fluids and the resultant excess of total body water are the primary driving factors in the development of exertional hyponatremia. 1,7,8 Other important factors include the persistent secretion of antidiuretic hormone (arginine vasopressin), excessive sodium losses in sweat, and inadequate sodium intake during prolonged physical exertion, particularly during heat stress. 2–4,9 The importance of sodium losses through sweat in the development of exertional hyponatremia is influenced by the fitness level of the individual. Less fit individuals generally have a higher sweat sodium concentration, a higher rate of sweat production, and an earlier onset of sweating during exercise. 10–12

Where are exertional hyponatremia cases diagnosed?

During the 16-year surveillance period, exertional hyponatremia cases were diagnosed at the medical treatment facilities of more than 150 U.S. military installations and geographic locations worldwide; however, 15 U.S. installations contributed 20 or more cases each and accounted for 50.3% of the total cases (Table 2). The installation with the most exertional hyponatremia cases overall was the Marine Corps Recruit Depot (MCRD) Parris Island/Beaufort, SC (n=217).

Does hyponatremia reduce readiness?

Exertional hyponatremia can not only reduce operational readiness by causing considerable morbidity, particularly among recruit trainees and Marine Corps and Army members in combat arms specialties, but it occasionally causes death. Service members, leaders, and trainers must observe the published guidelines that pertain to proper hydration during physical exertion, especially during warm weather.

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