Hypernatremia / hyperosmolarity, severe or symptomatic: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =Hypernatremia NA | | OldDxArticle = Hypernatremia NA Greater Than 160| CurrentStatus = reconciled | ||
| InitialEditorAssigned = Joanna Velasco | | InitialEditorAssigned = Joanna Velasco | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=E87.0 | | ICD10 Code=E87.0 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Neuro}} | |||
== Additional Info == | == Additional Info == | ||
{{ICD10 Guideline repeated events}} | |||
*The parameters for coding hypernatremia are any of the following 3 items: (This change is active as of Feb 12, 2018) | |||
**Na+ > 160 '''OR''' | |||
**Any Na+ > 145 AND in the presence of signs or symptoms believed to be due to hypernatremia '''OR''' | |||
**Any Na+ > 145 with active treatment for hypernatremia | |||
*Main signs and symptoms of hypernatremia are: | |||
**CNS - confusion, restlessness, lethargy, irritability, muscle twitching, hyperreflexia, tremulousness, ataxia, spasticity, seizures, coma | |||
{{Template:ICD10 Guideline Altered mental status}} | |||
== Alternate ICD10s to consider coding instead or in addition == | |||
*[[Disorder of mineral metabolism, NOS]] | |||
*[[Diabetes insipidus, neurogenic/central (DI)]] | |||
*[[Disorientation]] | |||
*[[Psychiatric drug NOS, overdose/toxicity]] | |||
*[[Hyperaldosteronism]] | |||
*[[Diarrhea, noninfectious NOS]] | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | |||
{{EndPlaceHolder}} |
Latest revision as of 22:17, 2019 September 16
ICD10 Diagnosis | |
Dx: | Hypernatremia / hyperosmolarity, severe or symptomatic |
ICD10 code: | E87.0 |
Pre-ICD10 counterpart: | Hypernatremia NA Greater Than 160 |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | 2019-0: Metabolic/Renal NOS, 2019-0: Renal/Metabolic NOS |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
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: |
|
- The parameters for coding hypernatremia are any of the following 3 items: (This change is active as of Feb 12, 2018)
- Na+ > 160 OR
- Any Na+ > 145 AND in the presence of signs or symptoms believed to be due to hypernatremia OR
- Any Na+ > 145 with active treatment for hypernatremia
- Main signs and symptoms of hypernatremia are:
- CNS - confusion, restlessness, lethargy, irritability, muscle twitching, hyperreflexia, tremulousness, ataxia, spasticity, seizures, coma
Altered mental status coding guideline
Coding altered mental status in ICD10 can be complex, see ICD10 Guideline for coding altered mental status for more info.
Alternate ICD10s to consider coding instead or in addition
- Disorder of mineral metabolism, NOS
- Diabetes insipidus, neurogenic/central (DI)
- Disorientation
- Psychiatric drug NOS, overdose/toxicity
- Hyperaldosteronism
- Diarrhea, noninfectious NOS
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories