Hypernatremia / hyperosmolarity, severe or symptomatic

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	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • E87.0

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• SMW

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Additional Info

• 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

Only code the first occurrence, not each time it happens

• Main signs and symptoms of hypernatremia are:
  • CNS - confusion, restlessness, lethargy, irritability, muscle twitching, hyperreflexia, tremulousness, ataxia, spasticity, seizures, coma

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

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results