Hypokalemia: Difference between revisions

Revision as of 08:26, 12 June 2019

ICD10 Diagnosis
Dx:	Hypokalemia
ICD10 code:	E87.6
Pre-ICD10 counterpart:	none assigned
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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
- GI - constipation * ileus, worsened hepatic encephalopathy
- renal - nephrogenic DI, metabolic alkalosis, decreased GFR and RBF, increased NH3 production * Na+ retention, Cl- wasting, polydipsia\polyuria

	_q Are we supposed to enter this only once per admission, or every time this occurs? Some patients will have multiple days in which their electrolytes will meet these criteria. This question applies for other imbalances, such as magnesium, sodium, phosphate...Mlagadi 09:19, 2019 May 1 (CDT)

@@ Line 22: / Line 22: @@
 **renal - nephrogenic DI, metabolic alkalosis, decreased GFR and RBF, increased NH3 production * Na+ retention, Cl- wasting, polydipsia\polyuria
-{{DA | Are we supposed to enter this only once per admission, or every time this occurs? Some patients will have multiple days in which their electrolytes will meet these criteria. This question applies for other imbalances, such as magnesium, sodium, phosphate...[[User:Mlagadi|Mlagadi]] 09:19, 2019 May 1 (CDT)}}
+{{DA | _q
+Are we supposed to enter this only once per admission, or every time this occurs? Some patients will have multiple days in which their electrolytes will meet these criteria. This question applies for other imbalances, such as magnesium, sodium, phosphate...[[User:Mlagadi|Mlagadi]] 09:19, 2019 May 1 (CDT)}}
 == Alternate ICD10s to consider coding instead or in addition ==

Skin	Trauma	Renal/urinary	Infectious disease
ENT	Testing	Cardiovascular	Hereditary/congenital
Eye	Mechanism	Neoplastic	Heme/immunology
Misc	Reproductive	Gastrointestinal	Musculoskeletal/soft tissue
Psych	Respiratory	Poisoning
Neuro	Symptom/Sign	Endocrine disorder