Hypokalemia, severe or symptomatic: Difference between revisions
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*Are we supposed to enter this only once per admission, or every time this occurs? Some patients will have multiple days in which their electrolytes will meet these criteria. This question applies for other imbalances, such as magnesium, sodium, phosphate...[[User:Mlagadi|Mlagadi]] 09:19, 2019 May 1 (CDT) | *Are we supposed to enter this only once per admission, or every time this occurs? Some patients will have multiple days in which their electrolytes will meet these criteria. This question applies for other imbalances, such as magnesium, sodium, phosphate...[[User:Mlagadi|Mlagadi]] 09:19, 2019 May 1 (CDT) | ||
**count only once, first time. as decided June 26.19 Task meeting. | **count only once, first time. as decided June 26.19 Task meeting. | ||
***See: [[Template:ICD10 Guideline repeated events]] | ***See: [[Template:ICD10 Guideline repeated events]] regarding how to code in DX. | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == |
Revision as of 11:51, 2019 July 23
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: | 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
- 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
- Are we supposed to enter this only once per admission, or every time this occurs? Some patients will have multiple days in which their electrolytes will meet these criteria. This question applies for other imbalances, such as magnesium, sodium, phosphate...Mlagadi 09:19, 2019 May 1 (CDT)
- count only once, first time. as decided June 26.19 Task meeting.
- See: Template:ICD10 Guideline repeated events regarding how to code in DX.
- count only once, first time. as decided June 26.19 Task meeting.
Alternate ICD10s to consider coding instead or in addition
- Disorder of mineral metabolism, NOS
- Electrolyte disorder, NOS*Palpitations
- Diarrhea, noninfectious NOS
- Hyperaldosteronism
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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