ICD-10 Coding for Missed Dialysis(Z91.15, E87.70, E87.72)
Complete ICD-10-CM coding and documentation guide for Missed Dialysis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Missed Dialysis
Z91.1Primary Range
Patient's noncompliance with medical treatment and regimen
Primary range for documenting noncompliance with dialysis.
Fluid, electrolyte and acid-base disorders
Used for complications like fluid overload and hyperkalemia due to missed dialysis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z91.15 | Patient's noncompliance with renal dialysis | When noncompliance with dialysis is a contributing factor to the patient's condition. |
|
| E87.70 | Fluid overload | When fluid overload is the primary reason for admission due to missed dialysis. |
|
| E87.72 | Hyperkalemia | When hyperkalemia is a direct result of missed dialysis. |
|
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: How to code missed dialysis with fluid overload
Essential facts and insights about Missed Dialysis
Primary ICD-10-CM Codes for missed dialysis
Decision Criteria
documentation Criteria
- Explicit mention of missed dialysis leading to specific complications.
Applicable To
- Noncompliance with dialysis regimen
Excludes
- Noncompliance with other medical treatment
Clinical Validation Requirements
- Documented missed dialysis sessions
- Explicit link to complications such as fluid overload or hyperkalemia
Code-Specific Risks
- Failure to link noncompliance to specific complications
Coding Notes
- Ensure documentation explicitly links missed dialysis to any complications.
E87.70 - Fluid overload
When fluid overload is the primary reason for admission due to missed dialysis.
Applicable To
- Volume overload
Excludes
- Fluid overload due to heart failure
Clinical Validation Requirements
- Weight gain >3% from baseline
- Pulmonary congestion on imaging
Coding Notes
Ensure documentation specifies fluid overload due to missed dialysis.
E87.72 - Hyperkalemia
When hyperkalemia is a direct result of missed dialysis.
Applicable To
- Elevated potassium levels
Excludes
- Hyperkalemia due to other causes
Clinical Validation Requirements
- Potassium >5.5 mEq/L
- EKG changes such as peaked T-waves
Coding Notes
Ensure lab results support the diagnosis of hyperkalemia.
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 Missed Dialysis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z91.15.
Impact
Clinical: Inaccurate clinical picture leading to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use templates to ensure all elements are documented., Educate providers on the importance of linking noncompliance to outcomes.
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure E87.70 is primary if fluid overload is the main reason for admission.
Impact
Lack of explicit documentation linking missed dialysis to complications.
Mitigation Strategy
Implement documentation templates and provider education.
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 Missed Dialysis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Missed Dialysis
Use these documentation templates to ensure complete and accurate documentation for Missed Dialysis. These templates include all required elements for proper coding and billing.
Fluid overload due to missed dialysis
Specialty: NephrologyRequired Elements
- Subjective: Patient's report of missed dialysis sessions.
- Objective: Weight gain, lab results, imaging findings.
- Assessment: Link between missed dialysis and fluid overload.
- Plan: Treatment plan including dialysis resumption.
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Missed Dialysis? Ask your questions below.