icd 9 code for diuretic controlled ascites

What is the ICD 9 code for ascites NEC?

Short description: Ascites NEC. ICD-9-CM 789.59 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 789.59 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD-9 code for diagnosis?

ICD-9-CM 789.59 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 789.59 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 9 code for fluid in the abdomen?

There are 2 ICD-9-CM codes below 789.5 that define this diagnosis in greater detail. Do not use this code on a reimbursement claim. Abnormal buildup of fluid in the abdomen that may cause swelling. In late-stage cancer, tumor cells may be found in the fluid in the abdomen.

What is the ICD 10 code for peritoneal hydrops?

Diagnosis Index entries containing back-references to R18.8: Ascites (abdominal) R18.8 pseudochylous R18.8. Dropsy, dropsical - see also Hydrops abdomen R18.8. Effusion peritoneal R18.8 (chronic) Fluid abdomen R18.8. peritoneal cavity R18.8. Hydroperitoneum R18.8. Hydrops R60.9 ICD-10-CM Diagnosis Code R60.9.

What is diuretic resistant ascites?

Refractory ascites (or diuretic-resistant ascites), i.e. ascites that cannot be mobilized by medical treatment (low sodium diet and high doses of furosemide and spironolactone) is an infrequent phenomenon in cirrhosis.

Does ascites respond to diuretics?

In patients with cirrhosis and ascites, assumption of upright posture is associated with activation of the renin‐angiotensin‐aldosterone and sympathetic nervous system, a reduction in glomerular filtration rate and sodium excretion, as well as a decreased response to diuretics.

Can ascites be controlled?

In the early stage, ascites can be controlled by just restricting dietary salt intake. However, as the disease progresses, the excretion of urinary sodium gradually decreases, and diuretics must be used to promote efficient urinary sodium excretion.

Is furosemide used for ascites?

Standard therapy for ascites includes a combination of dietary sodium restriction, oral spironolactone and furosemide, with large volume paracentesis (LVP) if needed [5]. It can take several days to titrate the dose of oral diuretics needed to produce the desired effect, if measured by sequential daily weight loss.

Can you take diuretics with liver disease?

Oral diuretics and total abstinence from alcohol are both considered the second line of treatment [11]. Spironolactone is the first-line diuretic recommended for a patient with cirrhosis and edema, initiating with a dose of 50 mg.

Why is spironolactone and furosemide given together?

When you take FUROSEMIDE+SPIRONOLACTONE,. It helps in losing out excess fluids from the body by increasing the production of urine. This reduces the workload on the heart and makes the heart more efficient at pumping blood throughout the body.

What is the ICD 10 code for ascites?

ICD-10 code R18. 8 for Other ascites is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

Why are diuretics used in cirrhosis?

The cirrhotic patient with ascites has an increased tubular reabsorption of sodium. Diuretic therapy allows an urinary loss of sodium.

Is ascites acute or chronic?

Ascites formation often develops in cirrhotic patients presenting with acute-on-chronic liver failure (ACLF), which is acute worsening of liver function due to a precipitating event, e.g. infection, upper gastrointestinal bleeding, electrolyte disturbances [Angeli et al.

What are the 5 types of diuretics?

Let's take a closer look at the classes of diuretics and how they work, and what nurses need to know.Loop Diuretics. ... Thiazides and Thiazide-Like Diuretics. ... Carbonic Anhydrase Inhibitors. ... Potassium-Sparing Diuretics. ... Osmotic Diuretics. ... Nursing Considerations.

What's the difference between spironolactone and furosemide?

Furosemide is a diuretic which removes extra water and certain electrolytes from the body through urine. Over time, it also relaxes blood vessels, but causes potassium loss. Spironolactone is also a diuretic which conserves potassium, thereby balancing its levels in the body.

Which is better furosemide or spironolactone?

These results indicate that (a) at the dosages used in the study, spironolactone is more effective than furosemide in nonazotemic cirrhosis with ascites, and (b) the activity of the renin-aldosterone system influences the diuretic response to furosemide and spironolactone in these patients.

What is the best treatment for ascites?

How is ascites treated?Cut back on your salt intake. ... Cut back on the amount of fluids you drink.Stop drinking alcohol.Take diuretic medicines to help reduce the fluid in your body.In certain cases, your doctor may need to remove large amounts of fluid from your abdomen through a needle.More items...

How does spironolactone work in ascites?

As a result, spironolactone promotes a sodium diuresis, but maintains body potassium levels. Spironolactone is particularly helpful in edematous states caused or exacerbated by hyperaldosteronism, which is typical of the edema and ascites caused by cirrhosis.

What stage of cirrhosis does ascites occur?

Ascites is the main complication of cirrhosis,3 and the mean time period to its development is approximately 10 years. Ascites is a landmark in the progression into the decompensated phase of cirrhosis and is associated with a poor prognosis and quality of life; mortality is estimated to be 50% in 2 years.

Why is albumin given to patients with ascites?

Albumin infusions have been used in the management of patients with cirrhosis and ascites with two main objectives: (1) to reduce the formation of ascites and oedema by increasing microvascular oncotic pressure; and (2) to improve circulatory and renal function by expanding total blood volume.