Hypomagnesemia: Difference between revisions

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== Additional Info ==
== Additional Info ==
*The parameters for coding hypomagnesemia are any of the following 3 items:  (This change is active as of Feb 12, 2018)
*The single criterion for coding this is Mg++ <= 0.41
**Mg++ < 0.5 '''OR'''
**Any Mg++ < 0.8 AND in the presence of signs or symptoms believed to be due to hypomagnesemia '''OR'''
**Any Mg++ < 0.8 with active treatment for hypomagnesemia
*NOTE: While some listings of normal ranges for Mg++ are as low as 0.63, nonetheless the rules listed here are what should be used to code hypomagnesemia.


*Main signs and symptoms of hypomagnesemia are:
*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:  
**neuromuscular - lethargy, weakness, neuromuscular irritability (fasciculations, tremors, '''tetany''')
**neuromuscular - lethargy, weakness, neuromuscular irritability (fasciculations, tremors, '''tetany''')
**GI - anorexia, nausea/vomiting, ileus
**GI - anorexia, nausea/vomiting, ileus
**cardiovascular - long QT, AV block, cardiac arrest, increased digoxin sensitivity, arrythmias
**cardiovascular - long QT, AV block, cardiac arrest, increased digoxin sensitivity, arrythmias
**miscellaneous - hypocalcalemia, hypokalemia, vertigo
**miscellaneous - hypocalcemia, hypokalemia, vertigo
 
{{ICD10 Guideline Electrolytes}}
{{ICD10 Guideline repeated events}}


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