Need help with ICD-9 code

arsusott@msn.comarsusott@msn.com
in Pediatrics
Anyone have any ideas for the dx code for abnormal thirst response and need for supplemental fluids... peds patient is getting a gastrostomy tube placed. Any suggestions would be great. Having trouble setting my drg without a pdx:)

Thanks so much,
Angela Susott
Msla, MT

Comments

  • Unknown
    edited May 2016
    Does this patient have symptoms of dehydration? If so, ask MD if that
    would be an appropriate consideration for documentation in the record.

    Donna Kent, RN, BSN, CCDS
    Manager, Clinical Documentation Integrity Program
    Clinical Quality and Accreditation
    Torrance Memorial Medical Center
    ph.:310 784-6884 fax:310 784-6899
    donna.kent@tmmc.com
  • cmorellcmorell
    googled disease with abnormal thirst and came up with:
    Diabetes Mellitus
    Diabetes Insipidus
    Primary Hyperaldosteronism
    Sepsis
    Psychogenic Polydipsia

    if any of those seem appropriate you could list the clinical indicators, reasonable clinical options including "unspecified or other more appropriate diagnosis"

    Or simply a "Diagnosis occasioning the admission" query.

    good luck,
    Charrington Morell, RN, CCDS
    RMCBP
    Hudson, FL
  • ddraizeddraize
    edited May 2016
    Any type of congenital problem that have abnormal thirst response

    Diane Draize RN, CPUR,CCDS
    Clinical Documentation Specialist

    Ministry Door County Medical Center
    diane.draize@ministryhealth.org
    920-743-5566 ex 3143

    We earn trust by working together as One Ministry to keep PATIENTS FIRST in everything we do

  • ssalinasssalinas
    edited May 2016
    Excessive thirst is polydipsia which codes to 783.5

    The 3M encoder takes you to polydipsis if you enter thirst.

    The underlying cause would be principal if it is known.

    Sharon

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