Hypokalemia

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.

• SMW
  • 2019-01-01
  • 2999-12-31
  • E87.6

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Additional Info

The following guideline was only meant to apply to the categories listed in it. This dx, Hypokalemia is not in one of those categories. If we want to expand the rule to other categories we need to discuss that more broadly than just this diagnosis. Flagging this for task. Repeated events If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way. Example:    A person has a self-limited episode of A-fib. It goes away and then recurs. Only code the first one. A person has a self-limited episode of A-fib. It goes away but then he has an episode of V-tach. As this is a different diagnosis, both of these should be listed, but only code once each. Patient comes in with hypokalemia. It’s treated and remits, but the next day it recurs. Only code the first time.

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• 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

Alternate ICD10s to consider coding instead or in addition

• Disorder of mineral metabolism, NOS
• Electrolyte disorder, NOS*Palpitations
• Diarrhea, noninfectious NOS
• Hyperaldosteronism

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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