ICD-10-CM Code for Acidosis E87. 2.
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".)
Abstract. Increased blood lactate concentration (hyperlactatemia) and lactic acidosis (hyperlactatemia and serum pH < 7.35) are common in patients with severe sepsis or septic shock and are associated with significant morbidity and mortality.
Metabolic acidosis develops when too much acid is produced in the body. It can also occur when the kidneys cannot remove enough acid from the body.
Lactic acidosis is a high anion gap metabolic acidosis Metabolic Acidosis Metabolic acidosis is primary reduction in bicarbonate (HCO3−), typically with compensatory reduction in carbon dioxide partial pressure (Pco2); pH may be markedly low or slightly... read more due to elevated blood lactate.
Lactate acidosis is a common finding in diabetic ketoacidosis (DKA). Lactate acidosis in DKA is multifactorial in aetiology— anaerobic glycolysis due to inadequate tissue perfusion and oxygenation as well as the metabolic derangements itself present in DKA might contribute to the elevated lactate levels.
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.
From a strictly coding standpoint, these codes may be reported together. From a clinical standpoint, any patient with severe sepsis would be expected to have elevated lactate levels, they would not, however, be expected to always have a large anion gap and persistent levels of lactate > 5mmol/l after hydration.
ICD-10-CM Code for Elevation of levels of lactic acid dehydrogenase [LDH] R74. 02.
Lactic acidosis is diagnosed through a fasting blood test. A doctor may instruct you not to eat or drink anything for 8 to 10 hours before taking the test. You may also be instructed to lower your activity level in the hours leading up to the test.
Lactic acid is created when the body turns glucose into energy. The production of lactic acid occurs when oxygen levels are low, generally during high-intensity exercise.
The symptoms of lactic acidosis include abdominal or stomach discomfort, decreased appetite, diarrhea, fast, shallow breathing, a general feeling of discomfort, muscle pain or cramping, and unusual sleepiness, tiredness, or weakness. If you have any symptoms of lactic acidosis, get emergency medical help right away.