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ICD-10 Coding for Low Potassium(E87.6)

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

Also known as:

HypokalemiaPotassium Deficiency

Related ICD-10 Code Ranges

Complete code families applicable to Low Potassium

E87.6Primary Range

Disorders of potassium metabolism

Primary code for hypokalemia, used when potassium levels are below normal.

Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

Used when hypokalemia is related to chronic kidney disease.

Primary hyperaldosteronism

Used when hypokalemia is secondary to endocrine disorders like hyperaldosteronism.

Key Information: ICD-10 code for low potassium

Essential facts and insights about Low Potassium

The ICD-10 code for low potassium, or hypokalemia, is E87.6, used when potassium levels are below 3.5 mEq/L and documented by a clinician.

Primary ICD-10-CM Code for low potassium

Hypokalemia
Billable Code

Decision Criteria

clinical Criteria

  • Serum potassium level <3.5 mEq/L

documentation Criteria

  • Clinician documentation of hypokalemia

Applicable To

  • Potassium deficiency
  • Low serum potassium

Excludes

  • Pseudohypokalemia

Clinical Validation Requirements

  • Serum potassium level <3.5 mEq/L
  • Clinician documentation of hypokalemia
  • Initiation of treatment such as potassium supplements

Code-Specific Risks

  • Coding based solely on lab results without clinician confirmation

Coding Notes

  • Ensure documentation explicitly states hypokalemia and links to any underlying conditions.

Ancillary Codes

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

Other fatigue

R53.83
Use when fatigue is a symptom of hypokalemia.

Differential Codes

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

Hyperkalemia

E87.5
Hyperkalemia involves elevated potassium levels, whereas hypokalemia involves low levels.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Low Potassium to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E87.6.

Impact

Clinical: Potential misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Denied claims due to insufficient documentation

Mitigation Strategy

Always confirm with clinician documentation, Avoid coding based solely on lab results

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data.

Mitigation Strategy

Ensure clinician documentation confirms hypokalemia.

Impact

Coding hypokalemia based solely on lab results without clinician documentation.

Mitigation Strategy

Require clinician confirmation in documentation.

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

Documentation Templates for Low Potassium

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

Hypokalemia due to diuretic use

Specialty: Nephrology

Required Elements

  • Serum potassium level
  • Clinician diagnosis
  • Treatment plan
  • Underlying cause

Example Documentation

Hypokalemia (K+ 3.2) secondary to furosemide use. Patient reports muscle cramps. Plan: KCl supplementation, monitor K levels.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low K. Supplements given.
Good Documentation Example
Hypokalemia (K+ 3.0) secondary to hydrochlorothiazide use. Fatigue, leg cramps. Plan: KCl 20 mEq PO BID × 3 days.
Explanation
The good example provides specific potassium levels, links to the cause, and outlines a treatment plan.

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

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