Template:ICD10 Guideline Electrolytes: Difference between revisions
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=== 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]] | |||
{{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
- (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.