Hypokalemia: Difference between revisions

(9 intermediate revisions by 3 users not shown)

Line 12:

== Additional Info ==

~~{{DiscussTask |~~

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

The following guideline was only meant to apply to the categories listed in it. This dx, {{PAGENAME}} is not in one of those categories. If we want to expand the rule to other categories we need to discuss that more broadly than just this diagnosis. Flagging this for task.

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

~~{{ICD10 Guideline repeated events}}~~

}}

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

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

**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

**other - rhabdomyolysis

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

Line 32:

Line 28:

*[[Diarrhea, noninfectious NOS]]

*[[Hyperaldosteronism]]

*[[Effects of starvation]]

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

@@ Line 12: / Line 12: @@
 == Additional Info ==
-{{DiscussTask |
+*The single criterion for coding this is K+ <=2.5
-The following guideline was only meant to apply to the categories listed in it. This dx, {{PAGENAME}} is not in one of those categories. If we want to expand the rule to other categories we need to discuss that more broadly than just this diagnosis. Flagging this for task.
+*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:
-{{ICD10 Guideline repeated events}}
-}}
-*The criteria for coding this is any of the 3 following items: (New Feb 12.18)
-**K+ < 2.5 '''OR'''
-**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
+**other - rhabdomyolysis
+{{ICD10 Guideline Electrolytes}}
+{{ICD10 Guideline repeated events}}
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 32: / Line 28: @@
 *[[Diarrhea, noninfectious NOS]]
 *[[Hyperaldosteronism]]
+*[[Effects of starvation]]
 == Candidate [[Combined ICD10 codes]] ==