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ICD-10 Coding for Hypochloremia(E87.8)

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

Also known as:

Low chloride levelsChloride deficiency

Related ICD-10 Code Ranges

Complete code families applicable to Hypochloremia

E87.8Primary Range

Other disorders of electrolyte and fluid balance, not elsewhere classified

This range includes hypochloremia as a disorder of electrolyte balance.

Key Information: ICD-10 code for hypochloremia

Essential facts and insights about Hypochloremia

The ICD-10 code for hypochloremia is E87.8, used for disorders of electrolyte and fluid balance.

Primary ICD-10-CM Code for hypochloremia

Other disorders of electrolyte and fluid balance, not elsewhere classified
Billable Code

Decision Criteria

clinical Criteria

  • Chloride level below 96 mEq/L

documentation Criteria

  • Documented clinical significance and underlying cause

Applicable To

  • Hypochloremia

Excludes

Clinical Validation Requirements

  • Serum chloride level below 96 mEq/L
  • Documentation of clinical significance such as metabolic alkalosis

Code-Specific Risks

  • Incorrect sequencing with underlying conditions
  • Lack of lab confirmation

Coding Notes

  • Ensure to document the underlying cause and sequence it appropriately.

Ancillary Codes

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

Other abnormal blood chemistry

R79.89
Use when additional abnormal lab findings are present.

Differential Codes

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

Hyperchloremia

E87.9
Hyperchloremia involves elevated chloride levels, whereas hypochloremia involves decreased levels.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hypochloremia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E87.8.

Impact

Clinical: Incomplete clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.

Mitigation Strategy

Always assess and document potential causes., Use clinical decision support tools.

Impact

Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Always code the underlying condition first, followed by E87.8.

Impact

Incorrect sequencing of hypochloremia and its underlying cause.

Mitigation Strategy

Educate coders on ICD-10 sequencing rules.

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

Documentation Templates for Hypochloremia

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

Emergency Department Presentation

Specialty: Emergency Medicine

Required Elements

  • Serum chloride level
  • Underlying cause
  • Clinical significance

Example Documentation

Assessment: Hypochloremia (Cl- 89 mEq/L, ref 98-106) secondary to diuretic use. Plan: IV normal saline at 100 mL/hr.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low chloride noted.
Good Documentation Example
Serum chloride 92 mEq/L (ref 98-106) with metabolic alkalosis in patient on furosemide 80mg daily.
Explanation
The good example provides specific lab values and context, which are essential for accurate coding.

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

Ask about any ICD-10 CM code, or paste a medical note

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