icd 10 code for metabolic anion gap acidosis

by Naomie Hackett 7 min read

ICD-10-CM Code for Acidosis E87. 2.

What is the ICD 10 code for metabolic acidosis?

E87.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM E87.2 became effective on October 1, 2020. ... Metabolic acidosis characterized by the accumulation of lactate in the body. It is caused by tissue hypoxia.

What is the ICD 10 code for anion gap acidosis?

| ICD-10 from 2011 - 2016 E87.2 is a billable ICD code used to specify a diagnosis of acidosis. A 'billable code' is detailed enough to be used to specify a medical diagnosis. The ICD code E872 is used to code Normal anion gap acidosis

What is the ICD 10 code for hyperchloremic acidosis?

This is the American ICD-10-CM version of N25.89 - other international versions of ICD-10 N25.89 may differ. A group of genetic disorders of the kidney tubules characterized by the accumulation of metabolically produced acids with elevated plasma chloride, hyperchloremic metabolic acidosis.

What is the ICD 10 code for propionic acidemia?

Propionic acidemia, an inherited metabolic disorder, was difficult to capture in ICD-9-CM, as it mapped incorrectly to acidosis as opposed to a disorder of inborn errors of metabolism. ICD-10-CM maps to the correct code assignment of E71.121, propionic acidemia.

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What is the ICD-10 code for metabolic acidosis?

E87. 2 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.

What is anion gap acidosis?

The anion gap reveals whether your blood has an imbalance of electrolytes or if your blood is too acidic or too basic. If you have too much acid in your blood, it's called acidosis. If your blood is too basic, you may have a condition called alkalosis.

What causes anion gap metabolic acidosis?

Causes. The most common causes of high anion gap metabolic acidosis are: ketoacidosis, lactic acidosis, kidney failure, and toxic ingestions. Ketoacidosis can occur as a complication of diabetes mellitus (diabetic ketoacidosis), but can occur due to other disorders, such as chronic alcoholism and malnutrition.

What is the ICD-10-CM code for lactic acidosis?

2 - Acidosis is a sample topic from the ICD-10-CM. To view other topics, please log in or purchase a subscription. ICD-10-CM 2022 Coding Guide™ from Unbound Medicine.

What is the difference between metabolic acidosis and metabolic alkalosis?

Acidosis and alkalosis are conditions in which there is a disturbance in the pH balance (acid-base balance) of the body. Acidosis is a condition in which the bodily fluids become too acidic, with an abnormally low pH level. In alkalosis, the opposite is true: the fluids of the body are too alkaline (high in pH).

What is the difference between metabolic acidosis and respiratory acidosis?

The pCO2 determines whether an acidosis is respiratory or metabolic in origin. For a respiratory acidosis, the pCO2 is greater than 40 to 45 due to decreased ventilation. Metabolic acidosis is due to alterations in bicarbonate, so the pCO2 is less than 40 since it is not the cause of the primary acid-base disturbance.

What is the most common cause of metabolic acidosis?

The most common causes of hyperchloremic metabolic acidosis are gastrointestinal bicarbonate loss, renal tubular acidosis, drugs-induced hyperkalemia, early renal failure and administration of acids.

What are three causes of metabolic acidosis?

It can be caused by:Cancer.Carbon monoxide poisoning.Drinking too much alcohol.Exercising vigorously for a very long time.Liver failure.Low blood sugar (hypoglycemia)Medicines, such as salicylates, metformin, anti-retrovirals.MELAS (a very rare genetic mitochondrial disorder that affects energy production)More items...•

What is the significance of the anion gap?

The anion gap measures the difference—or gap—between the negatively charged and positively charged electrolytes in your blood. If the anion gap is too high, your blood is more acidic than normal. If the anion gap is too low, your blood isn't acidic enough.

What is lactic acidosis?

Lactic acidosis occurs when lactic acid production exceeds lactic acid clearance. The increase in lactate production is usually caused by impaired tissue oxygenation, either from decreased oxygen delivery or a defect in mitochondrial oxygen utilization. (See "Approach to the adult with metabolic acidosis".)

What is the ICD 10 code for elevated lactic acid?

Lactic acidosis shares the ICD-10-CM code, E87. 2, Acidosis, with other causes of acidosis, respiratory or metabolic.

Is lactic acidosis the same as sepsis?

Conclusion. Lactic acidosis is common in patients with severe sepsis or septic shock and strongly correlates with illness severity and prognosis. However, it does not exclusively represent tissue hypoxia. It may indicate an adaptive response to metabolic processes of severe infection and response to therapies.

What is metabolic acidosis?

Metabolic acidosis, increased anion gap (IAG) (met-ah-bol-ik as-id-o-sis) a condition in which the blood is too acidic. It may be caused by severe illness or sepsis (bacteria in the bloodstream) A disorder characterized by abnormally high acidity (high hydrogen-ion concentration) of the blood and other body tissues A pathologic condition of acid accumulation or depletion of base in the body. The two main types are respiratory acidosis and metabolic acidosis, due to metabolic acid build up A state due to excess retention of carbon dioxide in the body Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized; may occur spontaneously or in association with diseases such as diabetes mellitus, leukemia, or liver failure Acidosis resulted from any pathologic condition interfering with normal ventilation, e.g. In case of chronic obstructive pulmonary disease An abnormal increase in the acidity of the body's fluids An abnormally high acidity (excess hydrogen-ion concentration) of the blood and other body tissues An abnormally high acidity of the blood and other body tissues. Acidosis can be either respiratory or metabolic Excess retention of carbon dioxide in the body resulting from ventilatory impairment Pathologic condition resulting from accumulation of acid or depletion of the alkaline reserve (bicarbonate) content of the blood and body tissues, and characterized by an increase in hydrogen ion concentration (decrease in ph) Continue reading >>

What are the two main types of acidosis?

The two main types are respiratory acidosis and metabolic acidosis, due to metabolic acid build up. A state due to excess retention of carbon dioxide in the body. Acid base imbalance resulting from an accumulation of carbon dioxide secondary to hypoventilation.

What is the name of the condition in which the blood is too acidic?

A condition in which the blood is too acidic. It may be caused by severe illness or sepsis (bacteria in the bloodstream). A disorder characterized by abnormally high acidity (high hydrogen-ion concentration) of the blood and other body tissues. A pathologic condition of acid accumulation or depletion of base in the body. The two main types are respiratory acidosis and metabolic acidosis, due to metabolic acid build up. A state due to excess retention of carbon dioxide in the body. Acid base imbalance resulting from an accumulation of carbon dioxide secondary to hypoventilation. Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized. It may occur spontaneously or in association with diseases such as diabetes mellitus, leukemia, or liver failure. Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized; may occur spontaneously or in association with diseases such as diabetes mellitus, leukemia, or liver failure. An abnormal increase in the acidity of the body's fluids An abnormally high acidity (excess hydrogen-ion concentration) of the blood and other body tissues. An abnormally high acidity of the blood and other body tissues. Acidosis can be either respiratory or metabolic. Excess retention of carbon dioxide in the body resulting from ventilatory impairment. Increased acidity in the blood secondary to acid base imbalance. Causes include diabetes, kidney failure and shock. Metabolic acidosis characterized by the accumulation of lactate in the body. It is caused by tissue hypoxia. Pathologic condition resulting from accumulation of acid or depletion of the alkaline reserve (bicarbonate) content of the blood and body tissues, and characterized by an increase in hydrogen ion concentration (decrease in ph). Respi Continue reading >>

What is the ICD-10 chapter 4?

ICD-10 Chapter IV: Endocrine, nutritional and metabolic diseases Certain infectious and parasitic diseases Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Endocrine, nutritional and metabolic diseases Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified Injury, poisoning and certain other consequences of external causes External causes of morbidity and mortality Factors influencing health status and contact with health services The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). [1] This page contains ICD-10 Chapter IV: Endocrine, nutritional and metabolic diseases. This is an overview about the chapter IV (also called chapter E) of the International Statistical Classification of Diseases and Related Health Problems 10th Revision ( ICD -10). This chapter is about Endocrine, nutritional and metabolic diseases. [2] The ICD-10 is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). The code set allows more than 155,000 different codes and permits tracking of many new diagnoses and procedures , a significant expansion on the 17,000 codes available in ICD-9 . [3] Continue reading >>

What causes excessive carbon dioxide retention in the body?

Excess retention of carbon dioxide in the body resulting from ventilatory impairment. Increased acidity in the blood secondary to acid base imbalance. Causes include diabetes, kidney failure and shock. Metabolic acidosis characterized by the accumulation of lactate in the body. It is caused by tissue hypoxia.

What causes high anion gap?

More rarely, high anion gap metabolic acidosis may be caused by ingesting methanol or overdosing on aspirin.

What is an abnormal increase in the acidity of the body's fluids?

An abnormal increase in the acidity of the body's fluids An abnormally high acidity (excess hydrogen-ion concentration) of the blood and other body tissues. An abnormally high acidity of the blood and other body tissues. Acidosis can be either respiratory or metabolic.

What is metabolic acidosis?

Metabolic acidosis, increased anion gap (IAG) (met-ah-bol-ik as-id-o-sis) a condition in which the blood is too acidic. It may be caused by severe illness or sepsis (bacteria in the bloodstream) A disorder characterized by abnormally high acidity (high hydrogen-ion concentration) of the blood and other body tissues A pathologic condition of acid accumulation or depletion of base in the body. The two main types are respiratory acidosis and metabolic acidosis, due to metabolic acid build up A state due to excess retention of carbon dioxide in the body Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized; may occur spontaneously or in association with diseases such as diabetes mellitus, leukemia, or liver failure Acidosis resulted from any pathologic condition interfering with normal ventilation, e.g. In case of chronic obstructive pulmonary disease An abnormal increase in the acidity of the body's fluids An abnormally high acidity (excess hydrogen-ion concentration) of the blood and other body tissues An abnormally high acidity of the blood and other body tissues. Acidosis can be either respiratory or metabolic Excess retention of carbon dioxide in the body resulting from ventilatory impairment Pathologic condition resulting from accumulation of acid or depletion of the alkaline reserve (bicarbonate) content of the blood and body tissues, and characterized by an increase in hydrogen ion concentration (decrease in ph) Continue reading >>

What is the ICD-10-CM/PCS MS-DRGv33?

ICD-10-CM/PCS MS-DRGv33 Definitions Manual Newborn (suspected to be) affected by maternal hypertensive disorders Newborn (suspected to be) affected by maternal renal and urinary tract diseases Newborn (suspected to be) affected by other maternal circulatory and respiratory diseases Newborn (suspected to be) affected by maternal nutritional disorders Newborn ( suspected to be) affected by maternal injury Newborn (suspected to be) affected by surgical procedure on mother Newborn (suspected to be) affected by other medical procedures on mother, not elsewhere classified Newborn (suspected to be) affected by periodontal disease in mother Newborn (suspected to be) affected by unspecified maternal condition Newborn (suspected to be) affected by incompetent cervix Newborn (suspected to be) affected by premature rupture of membranes Newborn (suspected to be) affected by oligohydramnios Newborn (suspected to be) affected by polyhydramnios Newborn (suspected to be) affected by ectopic pregnancy Newborn (suspected to be) affected by multiple pregnancy Newborn (suspected to be) affected by maternal death Newborn (suspected to be) affected by malpresentation before labor Newborn (suspected to be) affected by other maternal complications of pregnancy Newborn (suspected to be) affected by maternal complication of pregnancy, unspecified Newborn (suspected to be) affected by placenta previa Newborn (suspected to be) affected by other forms of placental separation and hemorrhage Newborn (suspected to be) affected by unspecified morphological and functional abnormalities of placenta Newborn (suspected to be) affected by other morphological and functional abnormalities of placenta Newborn (suspected to be) affected by placental transfusion syndromes Newborn (suspected to be) affected by pro Continue reading >>

What is the name of the condition in which the blood is too acidic?

A condition in which the blood is too acidic. It may be caused by severe illness or sepsis (bacteria in the bloodstream). A disorder characterized by abnormally high acidity (high hydrogen-ion concentration) of the blood and other body tissues. A pathologic condition of acid accumulation or depletion of base in the body. The two main types are respiratory acidosis and metabolic acidosis, due to metabolic acid build up. A state due to excess retention of carbon dioxide in the body. Acid base imbalance resulting from an accumulation of carbon dioxide secondary to hypoventilation. Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized. It may occur spontaneously or in association with diseases such as diabetes mellitus, leukemia, or liver failure. Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized; may occur spontaneously or in association with diseases such as diabetes mellitus, leukemia, or liver failure. An abnormal increase in the acidity of the body's fluids An abnormally high acidity (excess hydrogen-ion concentration) of the blood and other body tissues. An abnormally high acidity of the blood and other body tissues. Acidosis can be either respiratory or metabolic. Excess retention of carbon dioxide in the body resulting from ventilatory impairment. Increased acidity in the blood secondary to acid base imbalance. Causes include diabetes, kidney failure and shock. Metabolic acidosis characterized by the accumulation of lactate in the body. It is caused by tissue hypoxia. Pathologic condition resulting from accumulation of acid or depletion of the alkaline reserve (bicarbonate) content of the blood and body tissues, and characterized by an increase in hydrogen ion concentration (decrease in ph). Respi Continue reading >>

The ICD code E872 is used to code Normal anion gap acidosis

In renal physiology, normal anion gap acidosis, and less precisely non-anion gap acidosis, is an acidosis that is not accompanied by an abnormally increased anion gap.

Coding Notes for E87.2 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

MS-DRG Mapping

DRG Group #640-641 - Misc disorders of nutrition, metabolism, fluids or electrolytes with MCC.

ICD-10-CM Alphabetical Index References for 'E87.2 - Acidosis'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code E87.2. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 276.2 was previously used, E87.2 is the appropriate modern ICD10 code.

Differential Diagnosis Of Nongap Metabolic Acidosis: Value Of A Systematic Approach

Go to: Recognition and Pathogenesis of the Hyperchloremia and Hypobicarbonatemia of Nongap Acidosis A nongap metabolic acidosis is characterized by a serum anion gap that is unchanged from baseline, or a decrease in serum [HCO3−] that exceeds the rise in the anion gap (5,6).

Metabolic Acidosis

Diabetic Ketoacidosis (DKA), Alcohol ic ketoacidosis or starvation ketosis Paraldehyde, Phenformin (neither used in U.S. now) Propofol Infusion Syndrome has been proposed as a replacement in mnemonic Salicylate s (do not miss Chronic Salicylate Poisoning ) IV.

Alcoholic Ketoacidosis

Increased production of ketone bodies due to: Dehydration (nausea/vomiting, ADH inhibition) leads to increased stress hormone production leading to ketone formation Depleted glycogen stores in the liver (malnutrition/decrease carbohydrate intake) Elevated ratio of NADH/NAD due to ethanol metabolism Increased free fatty acid production Elevated NADH/NAD ratio leads to the predominate production of β–hydroxybutyrate (BHB) over acetoacetate (AcAc) Dehydration Fever absent unless there is an underlying infection Tachycardia (common) due to: Dehydration with associated orthostatic changes Concurrent alcohol withdrawal Tachypnea: Common Deep, rapid, Kussmaul respirations frequently present Nausea and vomiting Abdominal pain (nausea, vomiting, and abdominal pain are the most common symptoms): Usually diffuse with nonspecific tenderness Epigastric pain common Rebound tenderness, abdominal distension, hypoactive bowel sounds uncommon Mandates a search for an alternative, coexistent illness Decreased urinary output from hypovolemia Mental status: Minimally altered as a result of hypovolemia and possibly intoxication Altered mental status mandates a search for other associated conditions such as: Head injury, cerebrovascular accident (CVA), or intracranial hemorrhage Hypoglycemia Alcohol withdrawal Encephalopathy Toxins Visual disturbances: Reports of isolated visual disturbances with AKA common History Chronic alcohol use: Recent binge Abrupt cessation Physical Exam Findings of dehydration most common May have ketotic odor Kussmaul respirations Palmar erythema (alcoholism) Lab Acid–base disturbance: Increased anion gap metabolic acidosis hallmark Mixed acid–base disturbance common: Respiratory alkalosis Metabolic alkalosis secondary to vomiting and dehydration Hyperchlorem Continue reading >>.

Metabolic Acidosis With Diabetes Mellitus

Publication Date: 2004-05 Fourth quarter ICD 10 AM Edition: Fourth edition Query Number: 2125 30 year old patient with a PDx on discharge summary of metabolic acidosis. Patient is also an IDDM, with a history of a flu like illness for the past week, and noted to be dehydrated on admission. Patient stated BSL readings had been good. LOS 4 days.

Coding, Classification And Reimbursement

If the provider clearly documents that the acidosis is DUE TO renal failure, then the indexes direction to assign 589.89 (Other specified disorders resulting from impaired renal function) is correct. 276.2 would only be assigned for lactic, metabolic, or respiratory acidosis or if the acidosis was not otherwise specified by the provider.

Hypocitraturia: Overview Of Hypocitraturia, Importance Of Citrate, Risk Factors In Hypocitraturia

Hypocitraturia, a low amount of citrate in the urine, is an important risk factor for kidney stone formation. Citrate in the urine has long been recognized as an inhibitor of calcium salt crystallization.

2018 Icd-10-cm Diagnosis Code N25.89

N00-N99 Diseases of the genitourinary system N25-N29 Other disorders of kidney and ureter N25- Disorders resulting from impaired renal tubular function Other disorders resulting from impaired renal tubular function N25.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

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