Template:ICD10 Guideline Electrolytes: Difference between revisions

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</noinclude>=== Electrolyte disturbance ===
=== Electrolyte disturbance ===
{{Discuss|Allan asked for this template to put some info on all the electrolyte imbalance dx pages. }}
* Upon our implementation on 1/1/2019 to ICD10-based diagnostic coding, we have gone through several version of coding of electrolyte disturbances (in which we include hypoalbuminemia)
**Originally, we had "double threshold" values -- i.e. more extreme numerical thresholds without symptoms attributable to the disturbance, and less extreme threshold in those with symptoms
**Second, for a brief period in 2024/25, we switched to just the single, more extreme numerical threshold irrespective of symptoms.
**Now, as of April 2025, we have altered the paradigm
*The new paradigm has 2 aspects:
**(1) More extreme numerical thresholds for specific disturbances, to be coded without reference to symptoms or not.  The threshold values are listed in each of the specific ICD10 codes.
***In regard to this, we have eliminated [[Hypoalbuminemia, severe]]; altered the names of these entities to remove the words "severe" and/or "symptomatic"; and changed the serum phosphate disturbance from including both low and high values, to only now include low values (since hyperphosphatemia is almost never a clinically important problem).
***
**(2) If a patient has symptomatic disturbance, the new rule is to code the disturbance(s) (e.g. [[Coma NOS]], [[Rhabdomyolysis]], [[Ventricular fibrillation]]), and link that diagnosis to [[Electrolyte disorder, NOS]]
 
 
 
{{ICD10 category|Electrolyte disturbance}}
{{ICD10 category|Electrolyte disturbance}}
[[Category: ICD10 Coding Guidelines]]
[[Category: ICD10 Coding Guidelines]]

Revision as of 09:34, 10 April 2025

This template encodes some generic instructions for the entries in the Category:Electrolyte disturbance.

Template Use add the following to the top of the guideline page.

{{ICD10 Guideline Electrolytes}}

This template was implemented to document a decision made at Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2025#ICU Database Task Group Meeting – April 8, 2025 task.




Electrolyte disturbance

  • Upon our implementation on 1/1/2019 to ICD10-based diagnostic coding, we have gone through several version of coding of electrolyte disturbances (in which we include hypoalbuminemia)
    • Originally, we had "double threshold" values -- i.e. more extreme numerical thresholds without symptoms attributable to the disturbance, and less extreme threshold in those with symptoms
    • Second, for a brief period in 2024/25, we switched to just the single, more extreme numerical threshold irrespective of symptoms.
    • Now, as of April 2025, we have altered the paradigm
  • The new paradigm has 2 aspects:
    • (1) More extreme numerical thresholds for specific disturbances, to be coded without reference to symptoms or not. The threshold values are listed in each of the specific ICD10 codes.
      • In regard to this, we have eliminated Hypoalbuminemia, severe; altered the names of these entities to remove the words "severe" and/or "symptomatic"; and changed the serum phosphate disturbance from including both low and high values, to only now include low values (since hyperphosphatemia is almost never a clinically important problem).
    • (2) If a patient has symptomatic disturbance, the new rule is to code the disturbance(s) (e.g. Coma NOS, Rhabdomyolysis, Ventricular fibrillation), and link that diagnosis to Electrolyte disorder, NOS


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