Hypernatremia by definition is a state of hyperosmolality, because sodium is the dominant extracellular cation and solute. The normal plasma osmolality (Posm) lies between 275 and 290 mOsm/kg and is primarily determined by the concentration of sodium salts.
Elevated Troponin should be coded to R74. 8 Abnormal levels of other serum enzymes. [Effective 11 Jul 2012, ICD-10-AM/ACHI/ACS 7th Ed.]
ICD-10 code G93. 41 for Metabolic encephalopathy is a medical classification as listed by WHO under the range - Diseases of the nervous system .
E87. 1 Hypo-osmolality and hyponatremia - ICD-10-CM Diagnosis Codes.
R79.89Correct code is R79. 89; other specified abnormal findings of blood chemistry.
Very high levels of troponin are a sign that a heart attack has occurred. Most patients who have had a heart attack have increased troponin levels within 6 hours. After 12 hours, almost everyone who has had a heart attack will have raised levels. Troponin levels may remain high for 1 to 2 weeks after a heart attack.
Toxic encephalopathy describes acute mental status alteration due to medications, illicit drugs, or toxic chemicals. Metabolic encephalopathy is caused by any of a large number of metabolic disturbances.
The admission is five days long and the final diagnosis is encephalopathy due to polypharmacy with a metabolic component due to UTI. If toxic encephalopathy (encephalopathy due to drug) is sequenced as the principal diagnosis, metabolic encephalopathy as a secondary diagnosis will act as an MCC.
Acute toxic-metabolic encephalopathy (TME), which encompasses delirium and the acute confusional state, is an acute condition of global cerebral dysfunction in the absence of primary structural brain disease [1].
276.1 - Hyposmolality and/or hyponatremia. ICD-10-CM.
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.
Per coding directives, if dehydration is documented with hyponatremia, assign only a code for the hyponatremia (276.1). In addition, if the patient has SIADH and hyponatremia, only code 253.6 is assigned.
ICD-Code I10 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Essential (Primary) Hypertension.
ICD-10 code: E22. 2 Syndrome of inappropriate secretion of antidiuretic hormone.
ICD-10 code R73. 9 for Hyperglycemia, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Code I25* is the diagnosis code used for Chronic Ischemic Heart Disease, also known as Coronary artery disease (CAD). It is a is a group of diseases that includes: stable angina, unstable angina, myocardial infarction, and sudden coronary death.