Hyperkalemia, severe or symptomatic
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|Dx:||Hyperkalemia, severe or symptomatic|
|Pre-ICD10 counterpart:||Hyperkalemia K Greater Than 6.5|
|APACHE Como Component:||none|
|APACHE Acute Component:||2019-0: Metabolic/Renal NOS, 2019-0: Renal/Metabolic NOS|
|External ICD10 Documentation|
This diagnosis is a part of ICD10 collection.
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 or acquired diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.
- 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.
Related CCI Codes
Data Integrity Checks (automatic list)
|Query check CCI ICD10 Dialysis no Dx||CCMDB.accdb||implemented|
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