Hyperkalemia, severe or symptomatic

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ICD10 Diagnosis
Dx: Hyperkalemia, severe or symptomatic
ICD10 code: E87.5
Pre-ICD10 counterpart: Hyperkalemia K Greater Than 6.5
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: Metabolic/Renal NOS, Renal/Metabolic NOS
External ICD10 Documentation
This diagnosis is a part of ICD10 collection.

Repeated events

If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, 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.

Additional Info

  • The parameters for coding hyperkalemia are any of the following 3 items: (This change is active as of Feb 12, 2018)
    • K+ > 6.5 OR
    • Any K+ > 5.0 AND in the presence of signs or symptoms believed to be due to hyperkalemia OR
    • Any K+ > 5.0 with active treatment for hyperkalemia
  • Main signs and symptoms of hyperkalemia are:
    • cardiovascular - conduction abnormalities, ECG changes * V-fib, asystole
    • ECG changes: tented T's * wide QRS; long PR * small, wide P's, sine wave
    • neuromuscular - weakness, paresthesias * flaccid paralysis
  • If it's due to a drug effect, then code that also (see the 2 lists below).

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

  • If the cause of this diagnosis is known, combine it with this code.
Allergy codes:
Poisoning codes:

Related CCI Codes

Data Integrity Checks (SMW)

none found

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