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ICD-10 Coding for Hypermagnesemia(E83.40)

Complete ICD-10-CM coding and documentation guide for Hypermagnesemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

High magnesium levelsMagnesium toxicity

Related ICD-10 Code Ranges

Complete code families applicable to Hypermagnesemia

E83.40Primary Range

Disorders of magnesium metabolism

Primary code for hypermagnesemia, used when elevated magnesium levels are documented.

Chronic kidney disease (CKD)

Used when hypermagnesemia is due to CKD, CKD code should be sequenced first.

Key Information: ICD-10 code for hypermagnesemia

Essential facts and insights about Hypermagnesemia

The ICD-10 code for hypermagnesemia is E83.40, used for disorders of magnesium metabolism.

Primary ICD-10-CM Code for hypermagnesemia

Disorder of magnesium metabolism, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Serum magnesium level >2.6 mg/dL with symptoms

coding Criteria

  • Sequence underlying condition first if applicable

Applicable To

  • Hypermagnesemia

Excludes

Clinical Validation Requirements

  • Serum magnesium level >2.6 mg/dL
  • Symptoms such as hyporeflexia, bradycardia

Code-Specific Risks

  • Ensure underlying causes are documented and coded if present.

Coding Notes

  • Ensure serum magnesium levels and symptoms are documented.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Chronic kidney disease

N18.x
Use when hypermagnesemia is due to CKD; sequence CKD code first.

Bradycardia

R00.1
Use to document bradycardia as a symptom of hypermagnesemia.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Hypomagnesemia

E83.42
Use E83.42 for low magnesium levels, opposite of hypermagnesemia.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hypermagnesemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E83.40.

Impact

Clinical: Misrepresentation of patient's health status., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.

Mitigation Strategy

Review patient history for underlying conditions., Ensure all relevant conditions are coded.

Impact

Reimbursement: Incorrect sequencing can affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Document and code the underlying condition first if present.

Impact

Failure to sequence underlying conditions first.

Mitigation Strategy

Educate coders on sequencing rules and review coding guidelines regularly.

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 Hypermagnesemia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hypermagnesemia

Use these documentation templates to ensure complete and accurate documentation for Hypermagnesemia. These templates include all required elements for proper coding and billing.

Patient with CKD presenting with hypermagnesemia

Specialty: Nephrology

Required Elements

  • Serum magnesium level
  • Symptoms such as hyporeflexia
  • Underlying conditions like CKD

Example Documentation

68M with ESRD (N18.6) on HD missed last session. Presents with lethargy, Mg 5.1 mg/dL. ECG shows widened QRS. Plan: Calcium gluconate 1g IV, hold Mg-based laxatives.

Examples: Poor vs. Good Documentation

Poor Documentation Example
High Mg level, treat with IV fluids.
Good Documentation Example
Patient with ESRD on HD (N18.6) admitted for lethargy and hypotension. Serum Mg 3.2 mg/dL. Diagnosis: HyperMg due to renal failure.
Explanation
The good example provides specific lab values, symptoms, and links the condition to the underlying cause.

Need help with ICD-10 coding for Hypermagnesemia? Ask your questions below.

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