Hyperkalemia K Greater Than 6.5: Difference between revisions

Revision as of 11:59, 2014 December 12

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Hyperkalemia, severe or symptomatic

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Category/Organ System:	Category: Metabolic (old)
Type:	Medical Problem
Main Diagnosis:	Hyperkalemia K Greater Than 6.5
Sub Diagnosis:	HYPERKALEMIA K+ Greater Than 6.5
Diagnosis Code:	32700
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:
Status:

Notes:

Use this code only when the non-hemolyzed potassium level is equal to or greater than 6.5 as per our coding manuel.

Question: With all of these electrolyte disturbances, if the level is high or low according to our guidelines in ER or prior to arrival in the ICU, but the level is more normal when the first bloodwork is done in the ICU, do we still call it in the diagnosis? For example, the K is 7 in ER and they start to treat this problem, the pt is transferred to ICU because they have hyperkalemia. The first blood work in ICU shows a K of 6.4 The apache will not reflect a K of >6.5 but the pt diagnosis should still be hyperkalemia in my opinion. --LKolesar 10:35, 2014 December 12 (CST)
- seems right to me, that's how we treat all other dxs, no? We do not have integrity checks that would cause problems with this. Also: iw you were not able to code this, you might not be able to code anything, if this were the only reason the patient is there... Ttenbergen 10:59, 2014 December 12 (CST)

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 Use this code only when the non-hemolyzed potassium level is equal to or greater than 6.5 as per our coding manuel.
 *Question:  With all of these electrolyte disturbances, if the level is high or low according to our guidelines in ER or prior to arrival in the ICU, but the level is more normal when the first bloodwork is done in the ICU, do we still call it in the diagnosis?  For example, the K is 7 in ER and they start to treat this problem, the pt is transferred to ICU because they have hyperkalemia.  The first blood work in ICU shows a K of 6.4   The apache will not reflect a K of >6.5 but the pt diagnosis should still be hyperkalemia in my opinion. --[[User:LKolesar|LKolesar]] 10:35, 2014 December 12 (CST)
+** seems right to me, that's how we treat all other dxs, no? We do not have integrity checks that would cause problems with this. Also: iw you were not able to code this, you might not be able to code anything, if this were the only reason the patient is there... Ttenbergen 10:59, 2014 December 12 (CST)