Coding for Electrolyte Disorders . Electrolyte disorders are classified to ICD-9-CM category 276, Disorders of fluid, electrolyte, and acid-base balance.May 26, 2008
Electrolyte Disorders
Electrolyte imbalance, or water-electrolyte imbalance, is an abnormality in the concentration of electrolytes in the body. Electrolytes play a vital role in maintaining homeostasis in the body. They help to regulate heart and neurological function, fluid balance, oxygen delivery, acid–base balance and much more.
https://en.wikipedia.org › wiki › Electrolyte_imbalance
What is the ICD 9 code for electrolyte and fluid disorders?
Diagnosis Code 276.9. ICD-9: 276.9. Short Description: Electrolyt/fluid dis NEC. Long Description: Electrolyte and fluid disorders not elsewhere classified. This is the 2014 version of the ICD-9-CM diagnosis code 276.9.
What is the NEC code for electrolyt/fluid dis?
276.9 - Electrolyt/fluid dis NEC Not Valid for Submission 276.9 is a legacy non-billable code used to specify a medical diagnosis of electrolyte and fluid disorders not elsewhere classified. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
How is coding and sequencing used in electrolyte disorders?
Query the physician regarding the patient’s specific diagnosis. Coding and sequencing for electrolyte disorders are dependent on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care.
What are electrolyte and fluid balance disorders?
Other disorders of electrolyte and fluid balance, not elsewhere classified 1 Abnormally low level of chloride in the blood. 2 Higher or lower body electrolyte levels". 3 Higher or lower than normal values for the serum electrolytes; usually affecting na, k, chl, co2, glucose, bun.
What is the ICD-10 code for electrolytes?
What is the ICd-9 GEM?
What are the minerals that make up electrolytes?
About this website
What is the ICD 10 code for electrolyte abnormality?
ICD-10 Code for Other disorders of electrolyte and fluid balance, not elsewhere classified- E87. 8- Codify by AAPC.
What is the ICD 10 code for hypochloremia?
Other disorders of electrolyte and fluid balance, not elsewhere classified. E87. 8 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 the ICD 10 code for Hypopotassemia?
Convert to ICD-10-CM: 276.8 converts directly to: 2015/16 ICD-10-CM E87. 6 Hypokalemia.
What is an electrolyte imbalance?
The kidneys maintain a balance of electrolytes by shifting sodium levels as the body requires. When the level of electrolytes in your body is too low or too high, the resulting condition is called an electrolyte imbalance. Maintaining an electrolyte balance is vital for your body to function smoothly.
What is electrolyte disturbance?
Electrolyte imbalances, also known as electrolyte disorders, refer to the variations of electrolyte levels within body fluids. Very high or very low levels of electrolytes disrupt the cell function by altering the cellular potential and can lead to various complications, some of which can be life-threatening.
What is the ICD 9 CM code for hyponatremia?
276.12012 ICD-9-CM Diagnosis Code 276.1 : Hyposmolality and/or hyponatremia.
What is the ICD-10 code for hyponatremia?
E87. 1 Hypo-osmolality and hyponatremia - ICD-10-CM Diagnosis Codes.
What is hypokalemia disease?
Hypokalemia is a metabolic imbalance characterized by extremely low potassium levels in the blood. It is a symptom of another disease or condition, or a side effect of diuretic drugs.
What can cause Hypochloremia?
Hypochloremia can be caused by:Diarrhea.Vomiting.Excessive sweating.Kidney problems.Chronic respiratory acidosis, which is when your body can't remove all the carbon dioxide it produces.Syndrome of inappropriate antidiuretic hormone excretion (SIADH), when your body makes too much antidiuretic hormones.More items...•
What does Hyperchloremia mean?
Hyperchloremia is an electrolyte imbalance that occurs when there's too much chloride in the blood. Chloride is an important electrolyte that is responsible for maintaining the acid-base (pH) balance in your body, regulating fluids, and transmitting nerve impulses.
What does high chloride indicate?
High levels of chloride may be a sign of: Dehydration. Kidney disease. Metabolic acidosis, a condition in which you have too much acid in your blood.
What is the ICD-10 code for thrombocytosis?
Essential (hemorrhagic) thrombocythemia The 2022 edition of ICD-10-CM D47. 3 became effective on October 1, 2021.
What is the blood level of potassium?
Hypokalemia (hypopotassemia; 276.8) is a below-normal level of potassium in the blood of less than 3.5 milliequivalents per liter. Hypokalemia may be caused from an overall depletion in the body’s potassium or an excessive uptake of potassium by muscle from surrounding fluids.
Who is responsible for coding a diagnosis?
In the inpatient setting, a diagnosis based on an abnormal lab result or diagnostic test should not be determined by someone other than a physician. The physician must document the diagnosis in the medical record before it can be coded.
What is the definition of hypernatremia?
Hypernatremia (hyperosmolality; 276.0) is defined as an elevated sodium level in the blood that is more than 145 milliequivalents per liter. Hypernatremia results from a decrease of free water in the body rather than excess sodium. Therefore, physicians may document the term dehydration instead of hypernatremia.
What causes hyponatremia in the body?
Common causes of hyponatremia include the consumption of excessive water during exercise, diuretics, syndrome of inappropriate antidiuretic hormone (SI ADH; 253.6), dehydration, diet, and congestive heart failure. Per coding directives, if dehydration is documented with hyponatremia, assign only a code for the hyponatremia (276.1).
What causes hyperkalemia?
Hyperkalemia may be caused from a consumption of too much potassium salt, the failure of the kidneys to normally excrete potassium ions into the urine, or the leakage of potassium from cells into the bloodstream. Symptoms of hyperkalemia include heart abnormalities such as arrhythmia or cardiac arrest.
What causes a person to be unable to drink water?
Common causes of hypernatremia include inadequate water intake, inappropriate water excretion, and the intake of a hypertonic fluid. Symptoms include lethargy, weakness, irritability, and edema, and seizures and coma may occur in more severe cases.
What are the symptoms of hyponatremia?
Signs and symptoms of hyponatremia include nausea/vomiting; headache; confusion; lethargy; fatigue; appetite loss; restlessness; irritability; muscle weakness, spasms, or cramps; seizures; and decreased consciousness or coma. Common causes of hyponatremia include the consumption of excessive water during exercise, diuretics, ...
The ICD code E878 is used to code Hyperchloremia
Hyperchloremia is an electrolyte disturbance in which there is an abnormally elevated level of the chloride ion in the blood. The normal serum range for chloride is 97 to 107 mEq/L. Hyperchloremia is defined as a chloride concentration exceeding this level.Hyperchloremia can affect oxygen transport.
Coding Notes for E87.8 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 'E87.8 - Other disorders of electrolyte and fluid balance, not elsewhere classified'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code E87.8. 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 276.9 was previously used, E87.8 is the appropriate modern ICD10 code.
What is the ICD-10 code for electrolytes?
276.9 is a legacy non-billable code used to specify a medical diagnosis of electrolyte and fluid disorders not elsewhere classified. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
What is the ICd-9 GEM?
The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
What are the minerals that make up electrolytes?
Maintaining the right balance of electrolytes helps your body's blood chemistry, muscle action and other processes. Sodium, calcium, potassium, chlorine, phosphate and magnesium are all electrolytes. You get them from the foods you eat and the fluids you drink.
Classification
Electrolyte disorders are classified to ICD-9-CM category 276, Disorders of fluid, electrolyte, and acid-base balance. This column focuses on abnormal potassium and sodium levels in the blood.
Definition
- Hypernatremia (hyperosmolality; 276.0) is defined as an elevated sodium level in the blood that is more than 145 milliequivalents per liter. Hypernatremia results from a decrease of free water in the body rather than excess sodium. Therefore, physicians may document the term dehydration instead of hypernatremia. Dehydration is classified to code 276.51. If, however, dehydration is d…
Causes
- Common causes of hyponatremia include the consumption of excessive water during exercise, diuretics, syndrome of inappropriate antidiuretic hormone (SIADH; 253.6), dehydration, diet, and congestive heart failure. 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 hypon…
Overview
- Hyperkalemia (hyperpotassemia; 276.7) is an elevated level of potassium in the blood above 5 milliequivalents per liter. Hyperkalemia may be caused from a consumption of too much potassium salt, the failure of the kidneys to normally excrete potassium ions into the urine, or the leakage of potassium from cells into the bloodstream. Symptoms of hyperkalemia include heart …
Symptoms
- Although a patient with mild hypokalemia does not have any symptoms, moderate hypokalemia results in confusion, disorientation, weakness, and discomfort/cramps of muscles. Hypokalemia is treated with potassium supplements, potassium chloride, potassium bicarbonate, and potassium acetate.
Diagnosis
- An abnormal lab valueeither too high or too lowalone does not constitute a diagnosis. The physician has to document the condition. In addition, the documentation must also reflect one of the following before the diagnosis can be coded: clinical evaluation, therapeutic treatment, diagnostic procedure, extended length of hospital stay, or increased nursing care and/or monitor…
Example
- It is the physicians responsibility to document the patients diagnosis. In the inpatient setting, a diagnosis based on an abnormal lab result or diagnostic test should not be determined by someone other than a physician. The physician must document the diagnosis in the medical record before it can be coded. In addition, it is not adequate for a physician only to use arrows (…
Use
- Coding and sequencing for electrolyte disorders are dependent on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care. Also, use specific AHA Coding Clinic for ICD-9-CM and American Medical Association CPT Assistant references to ensure complete and accurate coding.
Preparation
- This information was prepared by Audrey Howard, RHIA, of 3M Consulting Services. 3M Consulting Services is a business of 3M Health Information Systems, a supplier of coding and classification systems to nearly 5,000 healthcare providers. The company and its representatives do not assume any responsibility for reimbursement decisions or claims denials made by provid…
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