ICD-10 Coding for Hypervolemia(E87.70, E87.72)
Complete ICD-10-CM coding and documentation guide for Hypervolemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypervolemia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E87.70 | Fluid overload, unspecified | Use when hypervolemia is the primary focus without a linked cardiac etiology. |
|
| E87.72 | Hyperkalemia | Use when hyperkalemia is confirmed with lab results and ECG changes. |
|
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 hypervolemia
Essential facts and insights about Hypervolemia
Primary ICD-10-CM Codes for hypervolemia
Decision Criteria
clinical Criteria
- Presence of objective signs of fluid overload.
documentation Criteria
- Clear linkage to underlying cause.
Applicable To
- Hypervolemia
Excludes
- Edema (R60.9)
Clinical Validation Requirements
- Weight gain >2kg/24hr
- CVP >8mmHg
- BIS >2.5L
Code-Specific Risks
- Incorrectly using for edema without proper documentation.
Coding Notes
- Ensure to document the etiology of hypervolemia clearly.
E87.72 - Hyperkalemia
Use when hyperkalemia is confirmed with lab results and ECG changes.
Applicable To
- Elevated potassium levels
Clinical Validation Requirements
- K+ >5.5 mEq/L
- ECG changes (peaked T-waves)
Coding Notes
Ensure lab results are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypervolemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E87.70.
Impact
Clinical: Leads to incomplete clinical picture., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Always specify the underlying cause of fluid overload.
Impact
Reimbursement: May lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Document specific signs of fluid overload and link to etiology.
Impact
Failure to document the cause of hypervolemia.
Mitigation Strategy
Implement mandatory documentation checks for etiology.
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 Hypervolemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypervolemia
Use these documentation templates to ensure complete and accurate documentation for Hypervolemia. These templates include all required elements for proper coding and billing.
Hypervolemia due to missed dialysis
Specialty: NephrologyRequired Elements
- Predialysis weight
- BIS fluid overload
- JVD presence
- CXR findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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