ICD-10 Coding for Hypovolemic Hyponatremia(E87.1, E86.1)
Complete ICD-10-CM coding and documentation guide for Hypovolemic Hyponatremia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypovolemic Hyponatremia
E86-E87Primary Range
Disorders of fluid, electrolyte and acid-base balance
This range includes codes for volume depletion and electrolyte imbalances, which are central to hypovolemic hyponatremia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E87.1 | Hypo-osmolality and hyponatremia | Use when hyponatremia is confirmed by lab results and is the primary condition being treated. |
|
| E86.1 | Hypovolemia | Use when hypovolemia is documented as the cause of hyponatremia. |
|
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 hypovolemic hyponatremia
Essential facts and insights about Hypovolemic Hyponatremia
Primary ICD-10-CM Codes for hypovolemic hyponatremia
Decision Criteria
clinical Criteria
- Presence of low serum sodium levels confirmed by lab tests.
documentation Criteria
- Documentation must specify 'hypovolemic hyponatremia'.
Applicable To
- Hyponatremia
Excludes
- Hypernatremia (E87.0)
Clinical Validation Requirements
- Serum sodium <135 mmol/L
- Symptoms of hyponatremia such as confusion or seizures
Code-Specific Risks
- Incorrectly using without confirming hyponatremia through lab tests.
Coding Notes
- Ensure documentation specifies the type of hyponatremia and its underlying cause.
E86.1 - Hypovolemia
Use when hypovolemia is documented as the cause of hyponatremia.
Applicable To
- Volume depletion due to hypovolemia
Excludes
- Dehydration (E86.0)
Clinical Validation Requirements
- Clinical signs of hypovolemia such as orthostatic hypotension, tachycardia
- Urine sodium <30 mmol/L
Coding Notes
Ensure documentation clearly differentiates between dehydration and hypovolemia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypovolemic Hyponatremia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E87.1.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of clinical findings., Use templates to guide documentation.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Always pair E87.1 with a code that specifies the cause, such as E86.1 for hypovolemia.
Impact
Risk of audits due to lack of specificity in coding hyponatremia.
Mitigation Strategy
Ensure documentation clearly specifies the type and cause of hyponatremia.
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 Hypovolemic Hyponatremia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypovolemic Hyponatremia
Use these documentation templates to ensure complete and accurate documentation for Hypovolemic Hyponatremia. These templates include all required elements for proper coding and billing.
Emergency Department Admission
Specialty: Emergency MedicineRequired Elements
- Chief complaint
- Clinical findings
- Lab results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hypovolemic Hyponatremia? Ask your questions below.