ICD-10 Coding for Hypokalemia(E87.6)
Complete ICD-10-CM coding and documentation guide for Hypokalemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypokalemia
E87.6Primary Range
Disorders of electrolyte and fluid balance, not elsewhere classified
Primary code for hypokalemia, used when no underlying cause is specified.
Chronic kidney disease (CKD)
Used to code underlying CKD when hypokalemia is a result of kidney disease.
Key Information: ICD-10 code for hypokalemia
Essential facts and insights about Hypokalemia
Primary ICD-10-CM Code for hypok
Decision Criteria
clinical Criteria
- Serum potassium level <3.5 mEq/L
documentation Criteria
- Documented symptoms or ECG changes
Clinical Validation Requirements
- Serum potassium level <3.5 mEq/L
- Symptoms such as muscle weakness or ECG changes
Code-Specific Risks
- Coding without identifying underlying cause can lead to claim denials.
Coding Notes
- Ensure to document the cause of hypokalemia and any related symptoms for accurate coding.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting 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 planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always query for underlying conditions if not documented.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation of patient conditions.
Mitigation Strategy
Always code the underlying cause first if known, such as CKD or diuretic use.
Impact
Failure to code underlying cause first.
Mitigation Strategy
Regular training on coding guidelines and updates.
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 Hypokalemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypokalemia
Use these documentation templates to ensure complete and accurate documentation for Hypokalemia. These templates include all required elements for proper coding and billing.
Hypokalemia due to diuretics
Specialty: NephrologyRequired Elements
- Serum potassium level
- Underlying cause
- Symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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