Polyuria: Difference between revisions
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Ttenbergen (talk | contribs) m Text replacement - "ICD10 Guideline Symptoms not needed when cause known" to "ICD10 Guideline Signs Symptoms Test Results not needed when cause known" |
Ttenbergen (talk | contribs) m Text replacement - "== Alternate ICD10s to consider coding instead or in addition ==" to "{{ICD10 Guideline repeated events}} == Alternate ICD10s to consider coding instead or in addition ==" |
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**As a symptom, it's just by patient self-report | **As a symptom, it's just by patient self-report | ||
{{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}} | {{ICD10 Guideline Signs Symptoms Test Results not needed when cause known}} | ||
{{ICD10 Guideline repeated events}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
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*[[Tachyarrythmias]] | *[[Tachyarrythmias]] | ||
*[[Bladder, cystitis NOS]] | *[[Bladder, cystitis NOS]] | ||
*[[Hypokalemia]] | *[[Hypokalemia, severe or symptomatic]] | ||
*[[Hyperparathyroidism]] | *[[Hyperparathyroidism]] | ||
*[[Hypercalcemia]] | *[[Hypercalcemia, severe or symptomatic]] | ||
*[[Hyperthyroidism (with or without goiter)]] | *[[Hyperthyroidism (with or without goiter)]] | ||
*[[Hypopituitarism (pituitary insufficiency), NOS]] | *[[Hypopituitarism (pituitary insufficiency), NOS]] | ||
Latest revision as of 12:26, 2019 July 3
| ICD10 Diagnosis | |
| Dx: | Polyuria |
| ICD10 code: | R35 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- This code includes: nocturia
- This can be a symptom OR a sign
- As a sign (and therefore measurable), the technical definition of polyuria is >2.5L/day of urine in an adult
- As a symptom, it's just by patient self-report
Symptom/Sign/Test Result not needed when cause known
- This code identifies a symptom or a sign, or an abnormal test result, not a disorder.
- So, you should code the cause of the symptom/sign/abnormal test, if known -- and if you do so, then also coding and combining the symptom/sign/abnormal test result to that cause is generally optional, but is guided by the following guidelines.
- Here are guidelines for whether or not to ALSO code the symptom/sign/abnormal test when you DO code the underlying cause:
- If it is a subjective symptom (e.g. pain) then coding it is optional
- When it is a physical exam finding (e.g. abdominal tenderness) then coding it is generally optional
- An exception is when the symptom/sign/abnormal testis so severe that all by itself it mandates hospitalization and/or a procedure -- a good example is a patient who has Wegener's granulomatosis is admitted due with Hemoptysis. Since hemoptysis is a physical finding that fits this description of "severe" it should be coded, and combined with Wegener's.
- When it is an abnormal laboratory finding which in and of itself has relevance (e.g. hyperkalemia, hypoalbuminemia) then USUALLY code it
- You don't need to code the abnormal lab finding is when it is actually a major component of the underlying cause --- example is when a person presents with an acute MI, there is no need to code the abnormal troponin as Abnormal blood chemistry NOS
- The trickiest of these guidelines is for abnormal radiologic tests
- When the abnormal test is fully explained by the underlying diagnosis/diagnoses (e.g. pneumonia as cause of abnormal chest imaging, or a skull fracture with an intracranial hemorrhage both identified by an abnormal head CT) then coding the abnormal imaging result is optional
- But remember there are some rare things for which the abnormal imaging result IS part of coding the entity, for example we code retroperitoneal hemorrhage by the combination of Hemorrhage, NOS and Retroperitoneal area, diagnostic imaging, abnormal
- Sometimes there may be multiple symptom/sign/test result that might or might NOT be related to each other by virtue of having the same underlying cause. Since in the absence of KNOWING that cause, such assumptions may well be incorrect, do NOT combine them together if you are not certain they actually have the same underlying cause.
Repeated events
If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.
| Example: |
|
Alternate ICD10s to consider coding instead or in addition
- Polydipsia
- Diabetes insipidus (DI), nephrogenic
- Diabetes insipidus, neurogenic/central (DI)
- Diabetes mellitus type 1, with chronic complication (code complications separately)
- Diabetes mellitus type 1, without chronic complications
- Diabetes mellitus type 2 without chronic complications
- Diabetes mellitus type 2, with chronic complication (code complications separately)
- Diabetes mellitus, gestational
- Diabetes mellitus, in poor control
- Diabetes mellitus, type not specified, with chronic complication (code complications separately)
- Diabetes mellitus, type not specified, without chronic complications
- can also be caused by various chemical substances ie diuretics, caffeine, ETOH, corticosteroids, lithium
- Atrial fibrillation and/or atrial flutter
- Tachyarrythmias
- Bladder, cystitis NOS
- Hypokalemia, severe or symptomatic
- Hyperparathyroidism
- Hypercalcemia, severe or symptomatic
- Hyperthyroidism (with or without goiter)
- Hypopituitarism (pituitary insufficiency), NOS
- Hyperglycemia
- Congestive heart failure, NOS
- Hemochromatosis
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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