Refer to Coding Matters Volume 5 No 3 which provides an example of a patient admitted to hospital with fluid overload due to missed dialysis and the principal diagnosis is Principal diagnosis E87.7 Fluid overload and the additional diagnosis is N18.0 End-stage renal disease.
Fluid overload, unspecified. E87.70 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM E87.70 became effective on October 1, 2018. This is the American ICD-10-CM version of E87.70 - other international versions of ICD-10 E87.70 may differ.
With respect to fluid overload and CCF, Coding Matters Volume 7 No 3 under Congestive heart failure advises it is not necessary to code fluid overload in a patient with CHF. However if a patient has a history of CCF, it does not mean that they have it now.
Fluid retention, overload, or edema Increased isotonic fluid retention ICD-10-CM E87.70 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
Patient's noncompliance with renal dialysis Z91. 15 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 Z91. 15 became effective on October 1, 2021.
ICD-10 code E87. 70 for Fluid overload, unspecified is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
If the patient is also documented as having AKI with volume overload, coding guidelines state that the AKI would be coded first followed by the codes for volume overload: CHF (chronic or unspecified), ESRD (N18. 6), and dialysis noncompliance.
Having too much water in your body is called fluid overload or hypervolemia. One of the main functions of the kidneys is to balance fluid in the body. If too much fluid builds up in your body, it can have harmful effects on your health, such as difficulty breathing and swelling.
Z91.15Z91. 15 - Patient's noncompliance with renal dialysis | ICD-10-CM.
Fluid Volume Excess (FVE), or hypervolemia, refers to an isotonic expansion of the ECF due to an increase in total body sodium content and an increase in total body water.
A: The ICD-10-CM codes that would be most appropriate for this case are:N28. 9, disorder of kidney and ureter, unspecified.E86. 0, dehydration.
Code I13. 2, Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease or ESRD, is a combination code that represents all three conditions found under DRGs 291-293, Heart Failure and Shock as a principal diagnosis.
With respect to fluid overload and CCF, Coding Matters Volume 7 No 3 under Congestive heart failure advises it is not necessary to code fluid overload in a patient with CHF.
When you skip treatments, extra fluid will need to be removed when you go back to dialysis and this may make your next treatment harder for you. Removing extra fluid can cause cramping, headaches, low blood pressure, or nausea as the healthcare teams tries to get you back to your dry weight.
Without dialysis, toxins build up in the blood, causing a condition called uremia. The patient will receive whatever medicines are necessary to manage symptoms of uremia and other medical conditions. Depending on how quickly the toxins build up, death usually follows anywhere from a few days to several weeks.
Your kidneys are responsible for removing excess fluid from your body. When your kidneys aren't working well, fluid can build up. Congestive heart failure. When your heart is not pumping enough blood, your kidneys aren't able to work as well, leaving excess fluid in your body.
In this case CHF exacerbation is the PDX because it is the worsening state. Even though the dialysis patient undegoing we dont know which stage the patient is in. If we dont treat dialysis the patient might goes to next level.. But if we dont treat exacerbation conditions it might lead to death.
So Fluid overload can not be coded if we are coding CHF exacerbation. Also the patient had dialysis during the hospital stay.. But he/she is not treated for that dialysis.