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ICD-10 Coding for Hypokalemia in Pregnancy(O99.891, O26.89, E87.6)

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

Also known as:

Low potassium in pregnancyGestational hypokalemia

Related ICD-10 Code Ranges

Complete code families applicable to Hypokalemia in Pregnancy

Disorders of fluid, electrolyte and acid-base balance

This range includes hypokalemia, which is a key component of the condition.

O99.8Primary Range

Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

This range is used for conditions complicating pregnancy, including hypokalemia.

Other specified pregnancy-related conditions

Used when hypokalemia is directly caused by pregnancy-related conditions.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
O99.891Other specified diseases and conditions complicating pregnancy, childbirth and the puerperiumUse when hypokalemia is a pre-existing condition exacerbated by pregnancy.
  • Serum potassium <3.2 mmol/L
  • Documentation linking hypokalemia to pregnancy
O26.89Other specified pregnancy-related conditionsUse when hypokalemia is directly caused by pregnancy.
  • Documentation of hypokalemia onset during pregnancy
E87.6HypokalemiaUse as a secondary code to specify hypokalemia.
  • Serum potassium <3.2 mmol/L

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: ICD-10 code for hypokalemia in pregnancy

Essential facts and insights about Hypokalemia in Pregnancy

The ICD-10 code for hypokalemia complicating pregnancy is O99.891, with E87.6 as a secondary code.

Primary ICD-10-CM Codes for hypokalemia in pregnancy

Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
Billable Code

Decision Criteria

clinical Criteria

  • Hypokalemia documented with serum potassium levels

documentation Criteria

  • Link to pregnancy complication

Applicable To

  • Hypokalemia complicating pregnancy

Excludes

  • Conditions not complicating pregnancy

Clinical Validation Requirements

  • Serum potassium <3.2 mmol/L
  • Documentation linking hypokalemia to pregnancy

Code-Specific Risks

  • Incorrect sequencing if not linked to pregnancy

Coding Notes

  • Ensure documentation specifies the relationship between hypokalemia and pregnancy.

Ancillary Codes

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

Hypokalemia

E87.6
Use as a secondary code to specify hypokalemia.

Differential Codes

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

Other specified pregnancy-related conditions

O26.89
Use when hypokalemia is directly caused by pregnancy.

Other specified diseases complicating pregnancy

O99.891
Use when hypokalemia is a pre-existing condition exacerbated by pregnancy.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hypokalemia in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.891.

Impact

Clinical: Inaccurate diagnosis of hypokalemia., Regulatory: Failure to meet coding guidelines., Financial: Potential claim denials.

Mitigation Strategy

Ensure lab results are included in documentation, Review documentation for completeness

Impact

Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use O99.891 or O26.89 as primary codes with E87.6 as secondary.

Impact

Using E87.6 as primary without pregnancy link.

Mitigation Strategy

Educate coders on proper 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 Hypokalemia in Pregnancy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hypokalemia in Pregnancy

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

Hypokalemia due to hyperemesis gravidarum

Specialty: Obstetrics

Required Elements

  • Gestational age
  • Serum potassium level
  • Urine potassium excretion
  • Link to hyperemesis

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient with low potassium in pregnancy.
Good Documentation Example
28yo G2P1001 at 16w0d with serum K+ 2.8 mmol/L secondary to hyperemesis.
Explanation
The good example provides specific lab values and links the condition to pregnancy.

Need help with ICD-10 coding for Hypokalemia in Pregnancy? Ask your questions below.

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