2025 ICD-10-CM Diagnosis Code E87.1
Hypo-osmolality and hyponatremia
- ICD-10-CM Code:
- E87.1
- ICD-10 Code for:
- Hypo-osmolality and hyponatremia
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
E87.1 is a billable diagnosis code used to specify a medical diagnosis of hypo-osmolality and hyponatremia. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Acute hyponatremia
- Central nervous system disorder of water regulation
- Cerebral hyponatremia
- Chorea due to hyponatremia
- Chronic hyponatremia
- Dilutional hyponatremia
- Drug-induced hyponatremia
- Extracellular fluid volume depletion
- Hyponatremia
- Hyponatremia with decreased serum osmolality
- Hyponatremia with excess extracellular fluid volume
- Hyponatremia with extracellular fluid depletion
- Hyponatremia with normal extracellular fluid volume
- Hypo-osmolality and or hyponatremia
- Hypoosmolarity
- Hyposmolality
- Hyposmolality syndrome
- Hypotonic disorder
- Inadequate sodium intake
- Paraneoplastic hyponatremia
- Pseudohyponatremia
- Sodium deficiency
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Fluid and electrolyte disorders
CCSR Code: END011
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Hyponatremia
deficiency of sodium in the blood; salt depletion. (dorland, 27th ed)Grade 1 Hyponatremia, CTCAE|Grade 1 Hyponatremia
Grade 2 Hyponatremia, CTCAE|Grade 2 Hyponatremia
125-129 mmol/l and asymptomaticGrade 3 Hyponatremia, CTCAE|Grade 3 Hyponatremia
125-129 mmol/l symptomatic; 120-124 mmol/l regardless of symptomsGrade 4 Hyponatremia, CTCAE|Grade 4 Hyponatremia
<120 mmol/l; life-threatening consequencesGrade 5 Hyponatremia, CTCAE|Grade 5 Hyponatremia
deathHyponatremia
lower than normal levels of sodium in the circulating blood.Hyponatremia with Hypoosmolality|Hyponatremia with Hypo-osmolality
abnormally low serum sodium levels in the setting of electrolyte/fluid imbalance. this condition may be the result of excessive intake or retention of water and/or excretion of salt.Hyponatremia, CTCAE|Hyponatremia|Hyponatremia
a disorder characterized by laboratory test results that indicate a low concentration of sodium in the blood.
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 Terms
Inclusion TermsThese 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.
- Sodium Na deficiency
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- syndrome of inappropriate secretion of antidiuretic hormone E22.2
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).
- - Cramp (s) - R25.2
- - salt-depletion - E87.1
- - Deficiency, deficient
- - natrium - E87.1
- - salt - E87.1
- - sodium (Na) - E87.1
- - Depletion
- - salt or sodium - E87.1
- - Findings, abnormal, inconclusive, without diagnosis - See Also: Abnormal;
- - sodium (deficiency) - E87.1
- - Hyponatremia - E87.1
- - Hypo-osmolality - E87.1
- - Low
- - salt syndrome - E87.1
- - Syndrome - See Also: Disease;
- - hyponatremic - E87.1
- - hyposmolality - E87.1
- - salt
- - sick
- - cell - E87.1
Convert E87.1 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Hyposmolality
ICD-9-CM: 276.1
This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.
Patient Education
Fluid and Electrolyte Balance
What are electrolytes?
Electrolytes are minerals that have an electric charge when they are dissolved in water or body fluids, including blood. The electric charge can be positive or negative. You have electrolytes in your blood, urine (pee), 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
- Support your muscle and nerve function
- Keep your heart rate and rhythm steady
- Keep your blood pressure stable
- Keep your bones and teeth healthy
What are the different types of electrolytes in your body?
The main electrolytes in your body include:
- Bicarbonate, which helps maintain the body's acid and base balance (pH). It also plays an important role in moving carbon dioxide through the bloodstream.
- Calcium, which helps make and keep bones and teeth strong.
- Chloride, which also helps control the amount of fluid in the body. In addition, it helps maintain healthy blood volume and blood pressure.
- Magnesium, which helps your muscles, nerves, and heart work properly. It also helps control blood pressure and blood glucose (blood sugar).
- Phosphate, which works together with calcium to build strong bones and teeth.
- Potassium, which helps your cells, heart, and muscles work properly.
- Sodium, which helps control the amount of fluid in the body. It also helps your nerves and muscles work properly.
You get these electrolytes from the foods you eat and the fluids you drink.
What is an electrolyte imbalance?
An electrolyte imbalance means that the level of one or more electrolytes in your body is too low or too high. It 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 of the more common reasons why you might have an imbalance of the water in your body include:
- Certain medicines
- Severe vomiting and/or diarrhea
- Heavy sweating
- Heart, liver or kidney problems
- Not drinking enough fluids, especially when doing intense exercise or when the weather is very hot
- Drinking too much water
What are the different types of electrolyte imbalances?
The names of the different types of electrolyte imbalances are:
Electrolyte | Too low | Too high |
---|---|---|
Bicarbonate | Acidosis | Alkalosis |
Calcium | Hypocalcemia | Hypercalcemia |
Chloride | Hypochloremia | Hyperchloremia |
Magnesium | Hypomagnesemia | Hypermagnesemia |
Phosphate | Hypophosphatemia | Hyperphosphatemia |
Potassium | Hypokalemia | Hyperkalemia |
Sodium | Hyponatremia | Hypernatremia |
How are electrolyte imbalances diagnosed?
A test called an electrolyte panel can check the levels of your body's main electrolytes. A related test, the anion gap blood test, checks whether your electrolytes are out of balance or if your blood is too acidic or not acidic enough.
What are the treatments for electrolyte imbalances?
The treatment for an electrolyte imbalance depends on which electrolytes are out of balance, if there is too little or too many, and what is causing the imbalance. In minor cases, you may just need to make some changes to your diet. In other cases, you may need other treatments. For example:
- If you don't have enough of an electrolyte, you may get electrolyte replacement therapy. This involves giving you more of that electrolyte. It could be a medicine or supplement that you swallow or drink, or it may be given intravenously (by IV).
- If you have too much of an electrolyte, your provider may give you medicines or fluids (by mouth or by IV) to help remove that electrolyte from your body. In severe cases, you may need dialysis to filter out the electrolyte.
[Learn More in MedlinePlus]
Sodium
Table salt is a combination of two minerals - sodium and chloride Your body needs some sodium to work properly. It helps with the function of nerves and muscles. It also helps to keep the right balance of fluids in your body. Your kidneys control how much sodium is in your body. If you have too much and your kidneys can't get rid it, sodium builds up in your blood. This can lead to high blood pressure. High blood pressure can lead to other health problems.
Most people in the U.S. get more sodium in their diets than they need. A key to healthy eating is choosing foods low in sodium. The Dietary Guidelines recommend that most adults eat less than 2.3 grams per day. That equals about 1 teaspoon of table salt a day. Some people are more sensitive to the effects of salt than others and should eat less. This includes people who have high blood pressure, diabetes, or kidney problems, or are African American or over age 50. Reading food labels can help you see how much sodium is in prepared foods.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] 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.