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Metabolic Acidosis Icd 10

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Asphyxia In The Newborn: Evaluating The Accuracy Of Icd Coding, Clinical Diagnosis And Reimbursement: Observational Study At A Swiss Tertiary Care Center On Routinely Collected Health Data From 2012-2015

Click through the PLOS taxonomy to find articles in your field. For more information about PLOS Subject Areas, click here . Asphyxia in the Newborn: Evaluating the Accuracy of ICD Coding, Clinical Diagnosis and Reimbursement: Observational Study at a Swiss Tertiary Care Center on Routinely Collected Health Data from 2012-2015 Affiliation Student at the Faculty of Medicine, University of Bern, Bern, Switzerland Affiliation Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland Affiliation Medical Directorate, Inselspital, University Hospital of Bern, Bern, Switzerland Affiliation Department of Obstetrics & Gynecology, University Hospital of Bern, Bern, Switzerland Affiliation Neonatology Division, Inselspital, University Hospital of Bern, Bern, Switzerland Asphyxia in the Newborn: Evaluating the Accuracy of ICD Coding, Clinical Diagnosis and Reimbursement: Observational Study at a Swiss Tertiary Care Center on Routinely Collected Health Data from 2012-2015 Continue reading >>

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Popular Questions

  1. One of our CDI noted an elevated lactic acid and queried the physician for a diagnosis. The patient did not have Sepsis. Our physician advisor said not to do that because the next lactic acid was normal. She said we should also be looking for the underlying cause of the lactic acidosis and not querying for the diagnosis. A diagnosis of lactic acidosis will give us a CC. Other CDI's have said that if the elevated lactic acid was treated, monitored or evaluated we should be querying for the diagnosis. Does anyone have any direction on how this should be handled?
    Is lactic acidosis always inherent in other conditions and that's what we should focus on?
    What can we pick up the diagnosis by itself as a CC / when should we query to get to documented in the chart?
    Are there any other clinical parameters we should be looking at when evaluating whether we should query such as the anion gap?
    Is there a specific treatment for metabolic acidosis?
    Thank you,
    Christine Butka RN MSN
    CDI Lead
    CentraState Medical Center
    Freehold, NJ

  2. What a timely comment. Recently, our coding auditor suggested that we should always keep an eye out for the cc "acidosis". It seems to me that lactic acidosis could be inherent to the disease process of sepsis and therefore should not be captured. Any thoughts?
    Yvonne B RN CDI Salinas, CA.

  3. Hello all! I agree, I believe lactic acidosis is inherent to sepsis. It is one of the most important indicators that gives the clnician a clue that sepsis may be present. Our fluid administration policy was actually developed on the lactic acid result: the higher the number, the more fluid we bolused (in non-CHF patients, of course). In cases were Sepsis is determined not to be present, we will query the provider, providing they treated or monitored the acidosis in some manner
    Shiloh

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This is a video of ICD-9 Code and Medical Billing by ICON Medical Billing

Medical Billing Code Search

Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure Postprocedural hemorrhage of an endocrine system organ or structure following other procedure Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure Postprocedural hematoma of an endocrine system organ or structure following other procedure Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure Postprocedural seroma of an endocrine system organ or structure following other procedure Other postprocedural endocrine and metabolic complications and disorders Vascular dementia without behavioral disturbance Includes: Major neurocognitive disorder without behavioral disturbance Vascular dementia with behavioral disturbance Includes: Major neurocognitive disorder due to vascular disease, with behavioral disturbanceMajor neurocognitive disorder with aggressive behaviorMajor neurocognitive disorder with combative behaviorMajor neurocognitive disorder with violent behaviorVascular dementia with aggressive behaviorVascular dementia with combative behaviorVascular dementia with violent be Continue reading >>

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Popular Questions

  1. One of our CDI noted an elevated lactic acid and queried the physician for a diagnosis. The patient did not have Sepsis. Our physician advisor said not to do that because the next lactic acid was normal. She said we should also be looking for the underlying cause of the lactic acidosis and not querying for the diagnosis. A diagnosis of lactic acidosis will give us a CC. Other CDI's have said that if the elevated lactic acid was treated, monitored or evaluated we should be querying for the diagnosis. Does anyone have any direction on how this should be handled?
    Is lactic acidosis always inherent in other conditions and that's what we should focus on?
    What can we pick up the diagnosis by itself as a CC / when should we query to get to documented in the chart?
    Are there any other clinical parameters we should be looking at when evaluating whether we should query such as the anion gap?
    Is there a specific treatment for metabolic acidosis?
    Thank you,
    Christine Butka RN MSN
    CDI Lead
    CentraState Medical Center
    Freehold, NJ

  2. What a timely comment. Recently, our coding auditor suggested that we should always keep an eye out for the cc "acidosis". It seems to me that lactic acidosis could be inherent to the disease process of sepsis and therefore should not be captured. Any thoughts?
    Yvonne B RN CDI Salinas, CA.

  3. Hello all! I agree, I believe lactic acidosis is inherent to sepsis. It is one of the most important indicators that gives the clnician a clue that sepsis may be present. Our fluid administration policy was actually developed on the lactic acid result: the higher the number, the more fluid we bolused (in non-CHF patients, of course). In cases were Sepsis is determined not to be present, we will query the provider, providing they treated or monitored the acidosis in some manner
    Shiloh

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Dr. Mimi Lam

Icd 10 Cm Codes For E87.4 : Mixed Disorder Of Acid-base Balance

is a billable ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM E87.4 converts approximately to:ICD-9-CM 2015 ICD-9-CM 276.4 Mixed acid-base balance disorder ICD-10-CM E87.4is grouped within Diagnostic Related Group(s) (MS-DRG v30.0) 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MCC 641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MCC 793 FULL TERM NEONATE WITH MAJOR PROBLEMS ICD-10-CM Index entries containing back-references to ICD-10-CM '.E87.4.' Abnormal, abnormality, abnormalities; acid-base balance (mixed) Acidosis (lactic) (respiratory); metabolic NEC; with respiratory acidosis Acidosis (lactic) (respiratory); respiratory; complicated by; metabolic; acidosis Acidosis (lactic) (respiratory); respiratory; complicated by; metabolic; alkalosis Alkalosis; metabolic; with respiratory acidosis Disturbance (s); acid-base equilibrium; mixed At Freemedicalcoding.com , our mission is to provide you free access to the latest medical coding industry databases, codes information and related coding information. We provide free access to ICD9, ICD10, HCPCS and other databa Continue reading >>

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Popular Questions

  1. Laurie R Zawiskie, RHIT

    Has anyone tried to code DKA in a patient with DM 2? The 3M encoder takes you to the code for secondary/other diabetes and then when you try to code other diabetic manifestations you get an excludes 1 notes saying they can't be coded with other diabetes. My code book is a 2014 draft, so I don't know if this has been corrected in the 2015 version, but there is not an entry for DM 2 with DKA. I think the 3M encoder is wrong to code it as secondary/other diabetes, but I can't find another way to code it.

  2. Lynn M Farnung

    Laurie,
    There is a Coding Clinic that addresses the type of DM with DKA. I have pasted it below.
    Diabetes mellitus with diabetic ketoacidosis
    Coding Clinic, First Quarter 2013 Page: 26-27 Effective with discharges: March 27, 2013
    Related Information
    Question:
    What is the correct code assignment for type 2 diabetes mellitus with diabetic ketoacidosis?
    Answer:
    Assign code E13.10, Other specified diabetes mellitus with ketoacidosis without coma, for a patient with type 2 diabetes with ketoacidosis. Given the less than perfect limited choices, it was felt that it would be clinically important to identify the fact that the patient has ketoacidosis. The National Center for Health Statistics (NCHS), who has oversight for volumes I and II of ICD-10-CM, has agreed to consider a future ICD-10-CM Coordination and Maintenance Committee meeting proposal.
    © Copyright 1984-2015, American Hospital Association ("AHA"), Chicago, Illinois. Reproduced with permission. No portion of this publication may be copied without the express, written consent of AHA. ------------------------------
    Lynn Farnung
    Inpatient/Outpatient coder, AHIMA Approved ICD-10 Trainer
    Original Message

  3. Laurie R Zawiskie, RHIT

    Thanks, Lynn. If a patient also has DM 2 w/nephropathy (E11.21), I guess we will have to ignore the Excludes 1 note that says E13.10 can't be coded with Type 2 DM (E11.-).
    ------------------------------
    Laurie Zawiskie
    Coder III
    Original Message

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