Polydipsia: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =Hyponatremia NA | | OldDxArticle =Hyponatremia NA Less Than 120| CurrentStatus = reconciled | ||
| InitialEditorAssigned = Stephanie Cortilet | | InitialEditorAssigned = Stephanie Cortilet | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=R63.1 | | ICD10 Code=R63.1 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Metabolic/nutrition}}{{ICD10 category|Symptom/Sign}}{{ICD10 category|Endocrine disorder}} | |||
== Additional Info == | |||
'''Includes''' | |||
* Dipsogenic diabetes insipidus | |||
* Excessive thirst | |||
* Primary polydipsia-condition where there is excess consumption of fluids leading to polyuria with diluted urine and, ultimately, hyponatremia. | |||
* Psychogenic polydipsia-may be associated with several psychiatric conditions including psychotic depression, bipolar disorder, and most commonly schizophrenia with up to 18% of patients displaying polydipsic behavior. Combine with mental health condition if 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 == | |||
== | *[[Hyperglycemia]] | ||
*[[Hyponatremia / hypoosmolarity, severe or symptomatic]] | |||
*{{ListICD10Category | categoryName = Diabetes}} | |||
*[[Liver disease/hepatitis, chronic NOS]] | |||
*[[Schizophrenia]] | |||
*[[Psychological developmental disorder, NOS]] | |||
*[[Polyphagia]] | |||
== | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | |||
{{EndPlaceHolder}} | |||
Latest revision as of 08:03, 2024 February 26
| ICD10 Diagnosis | |
| Dx: | Polydipsia |
| ICD10 code: | R63.1 |
| Pre-ICD10 counterpart: | Hyponatremia NA Less Than 120 |
| 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
Includes
- Dipsogenic diabetes insipidus
- Excessive thirst
- Primary polydipsia-condition where there is excess consumption of fluids leading to polyuria with diluted urine and, ultimately, hyponatremia.
- Psychogenic polydipsia-may be associated with several psychiatric conditions including psychotic depression, bipolar disorder, and most commonly schizophrenia with up to 18% of patients displaying polydipsic behavior. Combine with mental health condition if known.
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
- Liver disease/hepatitis, chronic NOS
- Schizophrenia
- Psychological developmental disorder, NOS
- Polyphagia
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories