Hyponatremia and dehydration
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Dehydration with hypernatremia or hyponatremia
Coding Clinic, First Quarter ICD-10 2014 Page: 7 Effective with discharges: March 31, 2014
Question:
How should dehydration with hypernatremia and dehydration with hyponatremia be coded? Codes E87.0 and E87.1 seem to capture hypernatremia and hyponatremia respectively but not dehydration. There are no index entries for dehydration with hypernatremia/hyponatremia, and there is no subentry for dehydration within the entries of hypernatremia and hyponatremia.
Answer:
Assign code E86.0, Dehydration, in addition to code E87.0, Hyperosmolality and hypernatremia, for a diagnosis of dehydration with hypernatremia. Assign code E86.0, Dehydration, in addition to code E87.1, Hypo-osmolality and hyponatremia, for a diagnosis of dehydration with hyponatremia. Two codes are required to fully capture dehydration with hypernatremia (E86.0 and E87.0) and dehydration with hyponatremia (E86.0 and E87.1). Coders should follow the index, which leads to coding both the dehydration and hypernatremia/hyponatremia separately.
(c) Copyright 1984-2015, American Hospital Association ("AHA"), Chicago, Illinois. Reproduced with permission. No portion of this publication may be copied without the express, written consent of AHA.
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Wellspan Good Samaritan Hospital
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436
Dehydration with hypernatremia or hyponatremia
Coding Clinic, First Quarter ICD-10 2014 Page: 7 Effective with discharges: March 31, 2014
Question:
How should dehydration with hypernatremia and dehydration with hyponatremia be coded? Codes E87.0 and E87.1 seem to capture hypernatremia and hyponatremia respectively but not dehydration. There are no index entries for dehydration with hypernatremia/hyponatremia, and there is no subentry for dehydration within the entries of hypernatremia and hyponatremia.
Answer:
Assign code E86.0, Dehydration, in addition to code E87.0, Hyperosmolality and hypernatremia, for a diagnosis of dehydration with hypernatremia. Assign code E86.0, Dehydration, in addition to code E87.1, Hypo-osmolality and hyponatremia, for a diagnosis of dehydration with hyponatremia. Two codes are required to fully capture dehydration with hypernatremia (E86.0 and E87.0) and dehydration with hyponatremia (E86.0 and E87.1). Coders should follow the index, which leads to coding both the dehydration and hypernatremia/hyponatremia separately.
(c) Copyright 1984-2015, American Hospital Association ("AHA"), Chicago, Illinois. Reproduced with permission. No portion of this publication may be copied without the express, written consent of AHA.
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Wellspan Good Samaritan Hospital
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436