Template:ICD10 Guideline Electrolytes
Template Use add the following to the top of the guideline page.
{{ICD10 Guideline Electrolytes}}
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) Relatively extreme numerical thresholds for specific disturbances, to be coded without reference to presence or absence of symptoms. The threshold values are listed on the page for each of the specific ICD10 codes for electrolyte disturbances.
- 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) Relatively extreme numerical thresholds for specific disturbances, to be coded without reference to presence or absence of symptoms. The threshold values are listed on the page for each of the specific ICD10 codes for electrolyte disturbances.