Hypokalemia, severe or symptomatic

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

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2999-12-31
  • E87.6

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Additional Info

in the example for repeated events it would imply that the initial hypokalemia would be an admit, it normalizes and not to code it again, at HSC we would code the initial hypokalemia as an admit and if it normalizes and then recurs, we would code the second hypokalemia as an acquired diagnosis but only the first time it occurs. Can we please clarify this Lisa Kaita 15:37, 2023 March 9 (CST)

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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:

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

• Disorder of mineral metabolism, NOS
• Electrolyte disorder, NOS*Palpitations
• Diarrhea, noninfectious NOS
• Hyperaldosteronism
• Effects of starvation

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