Hyperkalemia: Difference between revisions

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== Additional Info ==

*The ~~parameters~~ for coding ~~hyperkalemia are any of the following 3 items: (This change~~ is ~~active as of Feb 12, 2018)~~

*The single criterion for coding this is K+ >=6.0

**K+ > 6.~~5 '''OR'''~~

*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:

**Any K+ > 5.0 AND in the presence of signs or symptoms of ~~hyperkalemia '''OR'''~~

**Any K+ > 5.0 with active treatment for hyperkalemia

*The primary signs and symptoms of hyperkalemia are:

**cardiovascular - conduction abnormalities, ECG changes * V-fib, asystole

**ECG changes: tented T's * wide QRS; long PR * small, wide P's, sine wave

**neuromuscular - weakness, paresthesias * flaccid paralysis

*If it's due to a drug effect, then code that also (see the 2 lists below).

== Alternate ICD10s to consider coding instead or in addition ==

*[[Disorder of mineral metabolism, NOS]]

*[[Renal dialysis care, including dialysis itself]]

*[[Electrolyte disorder, NOS]]

@@ Line 11: / Line 11: @@
 == Additional Info ==
-*The parameters for coding hyperkalemia are any of the following 3 items:  (This change is active as of Feb 12, 2018)
+*The single criterion for coding this is K+ >=6.0
-**K+ > 6.5 '''OR'''
+*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:
-**Any K+ > 5.0 AND in the presence of signs or symptoms of hyperkalemia '''OR'''
-**Any K+ > 5.0 with active treatment for hyperkalemia
-*The primary signs and symptoms of hyperkalemia are:
 **cardiovascular - conduction abnormalities, ECG changes * V-fib, asystole
 **ECG changes: tented T's * wide QRS; long PR * small, wide P's, sine wave
 **neuromuscular - weakness, paresthesias * flaccid paralysis
 *If it's due to a drug effect, then code that also (see the 2 lists below).
+{{ICD10 Guideline Electrolytes}}
+{{ICD10 Guideline repeated events}}
 == Alternate ICD10s to consider coding instead or in addition ==
 *[[Disorder of mineral metabolism, NOS]]
-*[[Renal dialysis care, including dialysis itself]]
 *[[Electrolyte disorder, NOS]]