Hyperkalemia: Difference between revisions

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{{ICD10 category|Metabolic/nutrition}}{{ICD10 category|Renal/urinary}}  
{{ICD10 category|Metabolic/nutrition}}{{ICD10 category|Renal/urinary}}  
{{ICD10 Guideline repeated events}}


== Additional Info ==
== 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 believed to be due to hyperkalemia '''OR'''
**Any K+ > 5.0 with active treatment for hyperkalemia
*Main signs and symptoms of hyperkalemia are:
**cardiovascular - conduction abnormalities, ECG changes * V-fib, asystole
**cardiovascular - conduction abnormalities, ECG changes * V-fib, asystole
**ECG changes: tented T's * wide QRS; long PR * small, wide P's, sine wave
**ECG changes: tented T's * wide QRS; long PR * small, wide P's, sine wave
**neuromuscular - weakness, paresthesias * flaccid paralysis
**neuromuscular - weakness, paresthesias * flaccid paralysis
*If it's due to a drug effect, then code that also (see the 2 lists below).
*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 ==
== Alternate ICD10s to consider coding instead or in addition ==