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ICD-10 Coding for Acute Hypokalemia(E87.6, E27.1)

Complete ICD-10-CM coding and documentation guide for Acute Hypokalemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Low PotassiumHypokalemic Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Acute Hypokalemia

E87.6Primary Range

Disorders of electrolyte balance

Primary code for hypokalemia, used when no underlying cause is documented.

Primary hyperaldosteronism

Used in conjunction with E87.6 when hypokalemia is secondary to hyperaldosteronism.

Hypertensive chronic kidney disease

Used when hypokalemia is associated with chronic kidney disease.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E87.6HypokalemiaUse when hypokalemia is diagnosed without an underlying condition.
  • Serum potassium <3.5 mEq/L
  • Symptoms such as muscle weakness or arrhythmias
E27.1Primary hyperaldosteronismUse when hypokalemia is secondary to hyperaldosteronism.
  • Elevated aldosterone/renin ratio
  • Refractory hypertension

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for acute hypokalemia

Essential facts and insights about Acute Hypokalemia

The ICD-10 code for acute hypokalemia is E87.6, used when hypokalemia is diagnosed without an underlying condition.

Primary ICD-10-CM Codes for acute hypokalemia

Hypokalemia
Billable Code

Decision Criteria

clinical Criteria

  • Presence of symptoms and serum potassium <3.5 mEq/L

documentation Criteria

  • Documented treatment for hypokalemia

Applicable To

  • Low potassium levels

Excludes

Clinical Validation Requirements

  • Serum potassium <3.5 mEq/L
  • Symptoms such as muscle weakness or arrhythmias

Code-Specific Risks

  • Incorrectly coding without symptoms or treatment documentation

Coding Notes

  • Ensure documentation includes potassium levels and symptoms.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Adverse effect of diuretics

T45.2X5A
Use when hypokalemia is drug-induced.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Hyperkalemia

E87.5
Hyperkalemia involves elevated potassium levels, opposite of hypokalemia.

Other specified disorders of electrolyte and fluid balance

E87.4
Used for secondary hyperaldosteronism.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Acute Hypokalemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E87.6.

Impact

Clinical: Inadequate treatment tracking, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Always document treatment plans, Include medication details

Impact

Reimbursement: Claims may be denied due to lack of supporting documentation., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation includes symptoms and treatment details.

Impact

Missing documentation of symptoms or treatment can lead to audit issues.

Mitigation Strategy

Ensure all relevant clinical details are documented.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Acute Hypokalemia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Acute Hypokalemia

Use these documentation templates to ensure complete and accurate documentation for Acute Hypokalemia. These templates include all required elements for proper coding and billing.

Emergency Department Presentation

Specialty: Emergency Medicine

Required Elements

  • Serum potassium level
  • Symptoms
  • EKG findings
  • Treatment plan

Example Documentation

Patient presents with muscle weakness. Labs: K+ 2.8 mEq/L. EKG shows U-waves. Diagnosed with acute hypokalemia, treated with IV KCl.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low potassium noted.
Good Documentation Example
Acute hypokalemia (K+ 2.9 mEq/L) with U-waves on ECG, attributed to GI losses. Started IV KCl.
Explanation
The good example provides specific lab values, symptoms, and treatment, ensuring complete documentation.

Need help with ICD-10 coding for Acute Hypokalemia? Ask your questions below.

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