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]]

[[Category: ICD10 Coding Guidelines]]

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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}}
 [[Category: ICD10 Coding Guidelines]]