Hypokalemia, severe or symptomatic

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ICD10 Diagnosis
Dx: Hypokalemia, severe or symptomatic
ICD10 code: E87.6
Pre-ICD10 counterpart: Hypokalemia K Less Than 2.5
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.

Additional Info

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.
  • The criteria for coding this is any of the 3 following items: (New Feb 12.18)
    • K+ < 2.5 OR
    • K+ < 3.0 with signs or symptoms believed to be due to hypokalemia OR
    • K+ < 3.0 with active treatment for hypokalemia
  • Main signs/symptoms of hypokalemia are:
    • cardiovascular - abnormal ECG (U waves, ST-depression, flat T's,) atrial and ventricular ectopy, digoxin toxicity
    • neuromuscular - weakness, decreased DTRs, orthostatic hypotension
  • paralysis, rhabdomyolysis
    • GI - constipation * ileus, worsened hepatic encephalopathy
    • renal - nephrogenic DI, metabolic alkalosis, decreased GFR and RBF, increased NH3 production * Na+ retention, Cl- wasting, polydipsia\polyuria

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (SMW)

none found

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