Metabolic Acidosis - ACDIS Forums 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
Metabolic Acidosis - ACDIS Forums Metabolic acidosis is a process that decreases the bicarb (HCO3) concentration Acidemia (as opposed to acidosis) is defined as a low pH Not all patients with metabolic acidosis have acidemia - thus, the pH in a patient with metabolic acidosis may be low, high or normal Most providers are taught this in their first year of medical school
Lactate acidosis and Sepsis — ACDIS Forums It's been 7 years since Allen wrote this article that addresses coding lactate acidosis (E87 2-) and sepsis together What are current thoughts about this?
Euglycemic DKA — ACDIS Forums Hope that helps EDKA involves the presence of DKA (metabolic acidosis and ketosis) without the typical high blood sugar levels (hyperglycemia) Causes of EDKA: SGLT2 inhibitors: These medications, used to lower blood sugar, can increase the risk of EDKA, as they cause glucose to be excreted in the urine, leading to a carbohydrate deficit
Starvation Ketosis — ACDIS Forums Provider documents: Starvation Ketosis not in DKA CDS Recommended: E88 89 "Other specified metabolic disorders" as Principal Diagnosis with Secondary Diagnosis: T730XXA "Starvation, initial encounter" Final Code: T730XXA "Starvation, initial encounter" Why would E88 89 as a Principal Diagnosis not be included in the code set for Starvation Ketosis?
Coding Severe Sepsis — ACDIS Forums Amber, your documentation sample allows for coding of severe sepsis, because the physician has linked the organ failure to the sepsis "ARF due to dehydration and sepsis" Example of documentation: “Sepsis d t UTI with Acute Renal Failure due to dehydration and sepsis” Below is the coding guideline showing when you can code "severe sepsis" If a patient has sepsis and an acute organ
Compensated- is that = to Chronic? - ACDIS Forums It would be inappropriate to separately report a code for compensated respiratory acidosis Patients with chronic obstructive pulmonary disease (COPD) may experience difficulty in regulating blood gas levels
ETOH withdrawal — ACDIS Forums In ICD-10-CM, alcohol withdrawal is categorized as alcohol dependence, by default The classification provides a combination code for alcohol dependence with alcohol withdrawal