ICD-10 Coding for Hyperchloremia(E87.8, P74.421)
Complete ICD-10-CM coding and documentation guide for Hyperchloremia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperchloremia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E87.8 | Other disorders of electrolyte and fluid balance, not elsewhere classified | Use when hyperchloremia is diagnosed in adults with documented clinical significance. |
|
| P74.421 | Hyperchloremia of newborn | Use for hyperchloremia diagnosed in newborns. |
|
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 hyperchloremia
Essential facts and insights about Hyperchloremia
Primary ICD-10-CM Codes for hyperchloremia
Decision Criteria
clinical Criteria
- Serum chloride level and clinical symptoms must be documented.
coding Criteria
- Underlying cause must be coded first.
Applicable To
- Hyperchloremia
Excludes
- Hyperchloremia of newborn (P74.421)
Clinical Validation Requirements
- Serum chloride ≥107 mmol/L
- Clinical documentation of symptoms or underlying condition
Code-Specific Risks
- Incorrect sequencing if underlying cause is not coded first.
Coding Notes
- Ensure the underlying cause is documented and coded first.
P74.421 - Hyperchloremia of newborn
Use for hyperchloremia diagnosed in newborns.
Applicable To
- Neonatal hyperchloremia
Excludes
- Hyperchloremia in adults (E87.8)
Clinical Validation Requirements
- Serum chloride ≥110 mmol/L in neonates
- Documentation of neonatal condition
Coding Notes
Ensure age-specific criteria are met.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acidosis
E87.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperchloremia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E87.8.
Impact
Clinical: Incomplete clinical picture., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation Strategy
Always document the cause of hyperchloremia.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Confirm patient age; use E87.8 for patients over 28 days.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Failure to meet coding standards., Data Quality: Incomplete clinical data.
Mitigation Strategy
Query for the specific cause of hyperchloremia.
Impact
Failure to code the underlying cause first.
Mitigation Strategy
Educate coders on ICD-10 sequencing rules.
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 Hyperchloremia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperchloremia
Use these documentation templates to ensure complete and accurate documentation for Hyperchloremia. These templates include all required elements for proper coding and billing.
Hyperchloremia with dehydration
Specialty: Emergency MedicineRequired Elements
- Patient symptoms
- Lab results
- Underlying cause
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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