Hypokalemia: Difference between revisions

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== Additional Info ==

*The ~~criteria~~ for coding this is ~~any of the 3 following items: (New Feb 12.18)~~

*The single criterion for coding this is K+ <=2.5

**K+ < 2.5 ~~'''OR'''~~

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

**K+ < 3.0 with signs or symptoms ~~believed to be due to hypokalemia '''OR'''~~

**K+ < 3.0 with active treatment for hypokalemia

*Main signs/symptoms of ~~hypokalemia~~ are:

**cardiovascular - abnormal ECG (U waves, ST-depression, flat T's,) atrial and ventricular ectopy, digoxin toxicity

**neuromuscular - weakness, decreased DTRs, orthostatic hypotension * paralysis~~, rhabdomyolysis~~

**neuromuscular - weakness, decreased DTRs, orthostatic hypotension, paralysis

**GI - constipation * ileus, worsened hepatic encephalopathy

**renal - nephrogenic DI, metabolic alkalosis, decreased GFR and RBF, increased NH3 production * Na+ retention, Cl- wasting, polydipsia\polyuria

*~~Only code the first occurrence, not each time it happens.~~

**other - rhabdomyolysis

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

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*[[Diarrhea, noninfectious NOS]]

*[[Hyperaldosteronism]]

*[[Effects of starvation]]

== Candidate [[Combined ICD10 codes]] ==

@@ Line 12: / Line 12: @@
 == Additional Info ==
-*The criteria for coding this is any of the 3 following items: (New Feb 12.18)
+*The single criterion for coding this is K+ <=2.5
-**K+ < 2.5 '''OR'''
+*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:
-**K+ < 3.0 with signs or symptoms believed to be due to hypokalemia '''OR'''
-**K+ < 3.0 with active treatment for hypokalemia
-*Main signs/symptoms of hypokalemia are:
 **cardiovascular - abnormal ECG (U waves, ST-depression, flat T's,) atrial and ventricular ectopy, digoxin toxicity
-**neuromuscular - weakness, decreased DTRs, orthostatic hypotension * paralysis, rhabdomyolysis
+**neuromuscular - weakness, decreased DTRs, orthostatic hypotension, paralysis
 **GI - constipation * ileus, worsened hepatic encephalopathy
 **renal - nephrogenic DI, metabolic alkalosis, decreased GFR and RBF, increased NH3 production * Na+ retention, Cl- wasting, polydipsia\polyuria
-*Only code the first occurrence, not each time it happens.
+**other - rhabdomyolysis
+{{ICD10 Guideline Electrolytes}}
+{{ICD10 Guideline repeated events}}
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 28: / Line 28: @@
 *[[Diarrhea, noninfectious NOS]]
 *[[Hyperaldosteronism]]
+*[[Effects of starvation]]
 == Candidate [[Combined ICD10 codes]] ==