Hyponatremia / hypoosmolarity, severe or symptomatic: Difference between revisions
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== Additional Info == | == Additional Info == | ||
{{ICD10 Guideline repeated events}} | |||
*The parameters for coding hyponatremia are any of the following 3 items: (This change is active as of Feb 12, 2018) | *The parameters for coding hyponatremia are any of the following 3 items: (This change is active as of Feb 12, 2018) | ||
**Na+ < 120 '''OR''' | **Na+ < 120 '''OR''' | ||
**Any Na+ < 135 AND in the presence of signs or symptoms believed to be due to hyponatremia '''OR''' | **Any Na+ < 135 AND in the presence of signs or symptoms believed to be due to hyponatremia '''OR''' | ||
**Any Na+ < 135 with active treatment for hyponatremia | **Any Na+ < 135 with active treatment for hyponatremia | ||
*Main signs and symptoms of hyponatremia are: | *Main signs and symptoms of hyponatremia are: |
Revision as of 13:19, 2019 July 24
ICD10 Diagnosis | |
Dx: | Hyponatremia / hypoosmolarity, severe or symptomatic |
ICD10 code: | E87.1 |
Pre-ICD10 counterpart: | Hyponatremia NA Less Than 120 |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | 2019-0: Renal/Metabolic NOS, 2019-0: Metabolic/Renal 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 hyponatremia are any of the following 3 items: (This change is active as of Feb 12, 2018)
- Na+ < 120 OR
- Any Na+ < 135 AND in the presence of signs or symptoms believed to be due to hyponatremia OR
- Any Na+ < 135 with active treatment for hyponatremia
- Main signs and symptoms of hyponatremia are:
- CNS - altered sensorium, seizures, coma
- GI - anorexia, nausea/vomiting (these occur early)
- neuromuscular - muscle cramps, hyporeflexia
Alternate ICD10s to consider coding instead or in addition
- Disorder of mineral metabolism, NOS
- Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
- Polydipsia
- Headache NOS
- Seizure, NOS
- Coma NOS
- Adrenal insufficiency, NOS
- Hypothyroidism
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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