2024 ICD-10-CM Diagnosis Code E87.22
Chronic metabolic acidosis
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Congenital lactic acidosis Saguenay-Lac-Saint-Jean type
- Cytochrome-c oxidase deficiency
- Leigh's disease
- Clinical Category:
- Fluid and electrolyte disorders
- CCSR Category Code:
- Inpatient Default CCSR:
- Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR:
- Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
- Acidosis - a pathologic condition of acid accumulation or depletion of base in the body. the two main types are respiratory acidosis and metabolic acidosis, due to metabolic acid build up.
- Acidosis, Lactic - acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized. it may occur spontaneously or in association with diseases such as diabetes mellitus; leukemia; or liver failure.
- Acidosis, Renal Tubular - a group of genetic disorders of the kidney tubules characterized by the accumulation of metabolically produced acids with elevated plasma chloride, hyperchloremic metabolic acidosis. defective renal acidification of urine (proximal tubules) or low renal acid excretion (distal tubules) can lead to complications such as hypokalemia, hypercalcinuria with nephrolithiasis and nephrocalcinosis, and rickets.
- Acidosis, Respiratory - respiratory retention of carbon dioxide. it may be chronic or acute.
- Diabetic Ketoacidosis - a life-threatening complication of diabetes mellitus, primarily of type 1 diabetes mellitus with severe insulin deficiency and extreme hyperglycemia. it is characterized by ketosis; dehydration; and depressed consciousness leading to coma.
- Hypoaldosteronism - a congenital or acquired condition of insufficient production of aldosterone by the adrenal cortex leading to diminished aldosterone-mediated synthesis of na(+)-k(+)-exchanging atpase in renal tubular cells. clinical symptoms include hyperkalemia, sodium-wasting, hypotension, and sometimes metabolic acidosis.
- Acidosis - an abnormally high acidity of the blood and other body tissues. acidosis can be either respiratory or metabolic.
- Acidosis - an abnormally high acidity (excess hydrogen-ion concentration) of the blood and other body tissues.
- Acidosis, CTCAE|Acidosis|Acidosis - a disorder characterized by abnormally high acidity (high hydrogen-ion concentration) of the blood and other body tissues.
- Autosomal Recessive Distal Renal Tubular Acidosis-4 with Hemolytic Anemia|DRTA4 - an autosomal recessive type of distal renal tubular acidosis caused by mutation(s) in the slc4a1 gene, encoding band 3 anion transport protein. additionally, it may be characterized by hemolytic anemia.
- Diabetes Mellitus due to Underlying Condition with Ketoacidosis with Coma|Diabetes mellitus due to underlying condition with ketoacidosis with coma - evidence of diabetes mellitus due to underlying condition with ketoacidosis with coma.
- Diabetes Mellitus due to Underlying Condition with Ketoacidosis without Coma|Diabetes mellitus due to underlying condition with ketoacidosis without coma - evidence of diabetes mellitus due to underlying condition with ketoacidosis without coma.
- Diabetic Ketoacidosis|DKA|DKA|Elevated Ketones/Diabetic Ketoacidosis - the metabolic condition resulted from uncontrolled diabetes mellitus, in which the shift of acid-base status of the body toward the acid side because of loss of base or retention of acids other than carbonic acid is accompanied by the accumulation of ketone bodies in body tissues and fluids.
- Distal Renal Tubular Acidosis - failure of the renal tubules of the kidney to excrete urine of sufficient acidity, resulting in metabolic acidosis.
- Drug or Chemical Induced Diabetes Mellitus with Ketoacidosis with Coma|Drug or chemical induced diabetes mellitus with ketoacidosis with coma - evidence of drug or chemical induced diabetes mellitus with ketoacidosis with coma.
- Drug or Chemical Induced Diabetes Mellitus with Ketoacidosis without Coma|Drug or chemical induced diabetes mellitus with ketoacidosis without coma - evidence of drug or chemical induced diabetes mellitus with ketoacidosis without coma.
- Fetal Acidosis|Fetal Acidemia|Fetal Acidemia - an abnormally high hydrogen ion concentration (umbilical arterial blood ph less than 7.00) in fetal blood or tissue.
- Grade 1 Acidosis, CTCAE|Grade 1 Acidosis - ph
- Grade 3 Acidosis, CTCAE|Grade 3 Acidosis - ph <7.3
- Grade 4 Acidosis, CTCAE|Grade 4 Acidosis - life-threatening consequences
- Grade 5 Acidosis, CTCAE|Grade 5 Acidosis - death
- Lactic Acidosis - metabolic acidosis characterized by the accumulation of lactate in the body. it is caused by tissue hypoxia.
- MELAS Syndrome|MELAS|Mitochondrial Encephalomyopathy, Lactic Acidosis and Stroke - a rare progressive neurodegenerative disorder characterized by mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes.
- Metabolic Acidosis|Acidosis|metabolic acidosis - increased acidity in the blood secondary to acid base imbalance. causes include diabetes, kidney failure and shock.
- Osteopetrosis with Renal Tubular Acidosis|Autosomal Recessive Osteopetrosis 3|Autosomal Recessive Osteopetrosis, Type 3|Carbonic Anhydrase II Deficiency|Guibaud-Vainsel Syndrome|Marble Brain Disease|OPTB3 - a rare, autosomal recessive inherited disorder caused by mutation in the ca2 gene. it is characterized by osteopetrosis, renal tubular acidosis, and cerebral calcifications. it results in growth failure, mental retardation, and fractures.
- Other Specified Diabetes Mellitus with Ketoacidosis with Coma|Other specified diabetes mellitus with ketoacidosis with coma - evidence of other specified diabetes mellitus with ketoacidosis with coma not specified elsewhere.
- Other Specified Diabetes Mellitus with Ketoacidosis without Coma|Other specified diabetes mellitus with ketoacidosis without coma - evidence of other specified diabetes mellitus with ketoacidosis without coma not specified elsewhere.
- Proximal Renal Tubular Acidosis|Type II Renal Tubular Acidosis - impairment in renal proximal tubule bicarbonate reabsorption that results in a hypokalemic hyperchloremic metabolic acidosis, which is most commonly associated with renal fanconi syndrome.
- Renal Tubular Acidosis Associated With Deafness - renal tubular acidosis associated with sensorineural hearing loss, and which is typically associated with recessive mutations.
- Renal Tubular Acidosis|renal tubular acidosis - the inability of the kidneys to maintain acid-base homeostasis.
- Respiratory Acidosis - acid base imbalance resulting from an accumulation of carbon dioxide secondary to hypoventilation.
- Respiratory Acidosis|Hypercapnic Acidosis - a condition in which the blood ph is less than normal, secondary to impaired gas exchange.
- Type 1 Diabetes Mellitus with Ketoacidosis with Coma|Type 1 diabetes mellitus with ketoacidosis with coma - evidence of type 1 diabetes mellitus with ketoacidosis with coma.
- Type 1 Diabetes Mellitus with Ketoacidosis without Coma|Type 1 diabetes mellitus with ketoacidosis without coma - evidence of type 1 diabetes mellitus with ketoacidosis without coma.
- Type 2 Diabetes Mellitus with Ketoacidosis with Coma|Type 2 diabetes mellitus with ketoacidosis with coma - evidence of type 2 diabetes mellitus with ketoacidosis with coma.
- Type 2 Diabetes Mellitus with Ketoacidosis without Coma|Type 2 diabetes mellitus with ketoacidosis without coma - evidence of type 2 diabetes mellitus with ketoacidosis without coma.
- Type I Renal Tubular Acidosis - impairment in renal collecting tubule acid secretion that results in a hypokalemic hyperchloremic metabolic acidosis.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Chronic lactic acidosis
Code FirstCode First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- underlying etiology, if applicable
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Acidosis (lactic) - E87.20
E8722 replaces the following previously assigned ICD-10-CM code(s):
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - Code Added, effective from 10/1/2022 through 9/30/2023
 Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.