ICD-10-CM Code E87.4

Mixed disorder of acid-base balance

Version 2021 Billable Code

Valid for Submission

E87.4 is a billable code used to specify a medical diagnosis of mixed disorder of acid-base balance. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code E87.4 might also be used to specify conditions or terms like abnormal acid-base balance, abnormal acid-base balance affecting management of mother, acid-base balance - finding, base deficit, base excess, hypercapnia with mixed acid-base disorder, etc

ICD-10:E87.4
Short Description:Mixed disorder of acid-base balance
Long Description:Mixed disorder of acid-base balance

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code E87.4 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abnormal acid-base balance
  • Abnormal acid-base balance affecting management of mother
  • Acid-base balance - finding
  • Base deficit
  • Base excess
  • Hypercapnia with mixed acid-base disorder
  • Mixed acid-base balance disorder
  • Mixed acid-base balance disorder
  • Mixed acid-base balance disorders - not compensated primary disorder
  • Respiratory acidosis and metabolic alkalosis

Diagnostic Related Groups

The ICD-10 code E87.4 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
  • 641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC

Convert E87.4 to ICD-9

  • 276.4 - Mixed acid-base bal dis

Code Classification

  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Metabolic disorders (E70-E88)
      • Other disorders of fluid, electrolyte and acid-base balance (E87)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Fluid and Electrolyte Balance

Electrolytes are minerals in your body that have an electric charge. They are in your blood, urine, tissues, and other body fluids. Electrolytes are important because they help

  • Balance the amount of water in your body
  • Balance your body's acid/base (pH) level
  • Move nutrients into your cells
  • Move wastes out of your cells
  • Make sure that your nerves, muscles, the heart, and the brain work the way they should

Sodium, calcium, potassium, chlorine, phosphate, and magnesium are all electrolytes. You get them from the foods you eat and the fluids you drink.

The levels of electrolytes in your body can become too low or too high. This can happen when the amount of water in your body changes. The amount of water that you take in should equal the amount you lose. If something upsets this balance, you may have too little water (dehydration) or too much water (overhydration). Some medicines, vomiting, diarrhea, sweating, and liver or kidney problems can all upset your water balance.

Treatment helps you to manage the imbalance. It also involves identifying and treating what caused the imbalance.

  • Aldosterone blood test (Medical Encyclopedia)
  • Antidiuretic hormone blood test (Medical Encyclopedia)
  • Basic metabolic panel (Medical Encyclopedia)
  • Electrolytes (Medical Encyclopedia)
  • Fluid imbalance (Medical Encyclopedia)
  • Hypomagnesemia (Medical Encyclopedia)
  • Osmolality - blood (Medical Encyclopedia)
  • Urine specific gravity test (Medical Encyclopedia)

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