Hyperkalemia, severe or symptomatic: Difference between revisions
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*The parameters for coding hyperkalemia are any of the following 3 items: (This change is active as of Feb 12, 2018) | *The parameters for coding hyperkalemia are any of the following 3 items: (This change is active as of Feb 12, 2018) | ||
**K+ > 6.5 '''OR''' | **K+ > 6.5 '''OR''' | ||
**Any K+ > 5.0 AND in the presence of signs or symptoms | **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 | **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 |
Revision as of 08:05, 2019 April 9
ICD10 Diagnosis | |
Dx: | Hyperkalemia, severe or symptomatic |
ICD10 code: | E87.5 |
Pre-ICD10 counterpart: | Hyperkalemia K Greater Than 6.5 |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | 2019-0: Metabolic/Renal NOS, 2019-0: Renal/Metabolic NOS |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- The parameters for coding hyperkalemia are any of the following 3 items: (This change is active as of Feb 12, 2018)
- K+ > 6.5 OR
- 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
- ECG changes: tented T's * wide QRS; long PR * small, wide P's, sine wave
- neuromuscular - weakness, paresthesias * flaccid paralysis
- If it's due to a drug effect, then code that also (see the 2 lists below).
Alternate ICD10s to consider coding instead or in addition
- Disorder of mineral metabolism, NOS
- Renal dialysis care, including dialysis itself
- Electrolyte disorder, NOS
Candidate Combined ICD10 codes
- If the cause of this diagnosis is known, combine it with this code.
Related CCI Codes
Data Integrity Checks (automatic list)
App | Status | |
---|---|---|
Query check CCI ICD10 Dialysis no Dx | CCMDB.accdb | implemented |
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