2025 ICD-10-CM Diagnosis Code E87.5
Hyperkalemia
- ICD-10-CM Code:
- E87.5
- ICD-10 Code for:
- Hyperkalemia
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
E87.5 is a billable diagnosis code used to specify a medical diagnosis of hyperkalemia. 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 hyperkalemia
- Chronic hyperkalemia
- Drug-induced hyperkalemia
- Drug-induced hyperkalemia
- Hyperkalemia
- Hyperkalemia
- Hyperkalemia
- Hyperkalemia
- Hyperkalemia
- Hyperkalemia caused by angiotensin-converting enzyme inhibitor
- Hyperkalemia with normal acid-base balance
- Hyperkalemia, diminished renal excretion
- Hyperkalemia, transcellular shifts
- Hyperkalemic acidosis
- Hyperkalemic alkalosis
- Potassium level - finding
- Potassium overload
- Serum potassium level above reference range
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
Hyperkalemia
abnormally high potassium concentration in the blood, most often due to defective renal excretion. it is characterized clinically by electrocardiographic abnormalities (elevated t waves and depressed p waves, and eventually by atrial asystole). in severe cases, weakness and flaccid paralysis may occur. (dorland, 27th ed)Pseudohypoaldosteronism
a heterogeneous group of disorders characterized by renal electrolyte transport dysfunctions. congenital forms are rare autosomal disorders characterized by neonatal hypertension, hyperkalemia, increased renin activity and aldosterone concentration. the type i features hyperkalemia with sodium wasting; type ii, hyperkalemia without sodium wasting. pseudohypoaldosteronism can be the result of a defective renal electrolyte transport protein or acquired after kidney transplantation.Grade 1 Hyperkalemia, CTCAE|Grade 1 Hyperkalemia
>uln-5.5 mmol/lGrade 2 Hyperkalemia, CTCAE|Grade 2 Hyperkalemia
>5.5-6.0 mmol/l; intervention initiatedGrade 3 Hyperkalemia, CTCAE|Grade 3 Hyperkalemia
>6.0-7.0 mmol/l; hospitalization indicatedGrade 4 Hyperkalemia, CTCAE|Grade 4 Hyperkalemia
>7.0 mmol/l; life-threatening consequencesGrade 5 Hyperkalemia, CTCAE|Grade 5 Hyperkalemia
deathHyperkalemia
higher than normal levels of potassium in the circulating blood; associated with kidney failure or sometimes with the use of diuretic drugs.Hyperkalemia, CTCAE|Hyperkalemia|Hyperkalemia
a disorder characterized by laboratory test results that indicate an elevation in the concentration of potassium in the blood; associated with kidney failure or sometimes with the use of diuretic drugs.Hyperkalemic Mineralocorticoid Resistance|Chloride Shunt Syndrome|Familial Hyperkalemic Hypertension|Gordon Hyperkalemia|Mineralocorticoid Resistant Hyperkalemia|PHA Type 2|Pseudohypoaldosteronism, Type II|Spitzer-Weinstein Syndrome
a genetically heterogynous condition characterized by hyperkalemia, hyperchloremic acidosis, low or suppressed renin activity, and normal to high concentrations of aldosterone. mutations in genes (for example wnk1 or wnk4), regulating na-cl cotransporters (ncc), na-k-cl cotransporters (nkcc2), or the renal outer medullary potassium (romk) channel have been identified as causative in this condition. the primary abnormality is thought to be a specific defect of the renal secretory mechanism for potassium, which limits the kaliuretic response to, but not the sodium and chloride reabsorptive effect of, mineralocorticoid.Hyperkalemic Mineralocorticoid Resistance|Chloride Shunt Syndrome|Familial Hyperkalemic Hypertension|Gordon Hyperkalemia|Mineralocorticoid Resistant Hyperkalemia|PHA Type 2|Pseudohypoaldosteronism, Type II|Spitzer-Weinstein Syndrome
a genetically heterogenous condition characterized by hyperkalemia, hyperchloremic acidosis, low or suppressed renin activity, and normal to high concentrations of aldosterone. mutations in genes (for example wnk1 or wnk4), regulating na-cl cotransporters (ncc), na-k-cl cotransporters (nkcc2), or the renal outer medullary potassium (romk) channel have been identified as causative in this condition. the primary abnormality is thought to be a specific defect of the renal secretory mechanism for potassium, which limits the kaliuretic response to, but not the sodium and chloride reabsorptive effect of, mineralocorticoid.
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.
- Potassium K excess
- Potassium K overload
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).
- - Excess, excessive, excessively
- - kalium - E87.5
- - potassium (K) - E87.5
- - Findings, abnormal, inconclusive, without diagnosis - See Also: Abnormal;
- - potassium (deficiency) - E87.6
- - excess - E87.5
- - potassium (deficiency) - E87.6
- - Hyperkalemia - E87.5
- - Hyperpotassemia - E87.5
- - Intoxication
- - potassium (K) - E87.5
- - Overload
- - potassium (K) - E87.5
- - Syndrome - See Also: Disease;
- - hyperkalemic - E87.5
- - potassium intoxication - E87.5
Convert E87.5 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.
Hyperpotassemia
ICD-9-CM: 276.7
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]
Potassium
Potassium is a mineral that your body needs to work properly. It is a type of electrolyte. It helps your nerves to function and muscles to contract. It helps your heartbeat stay regular. It also helps move nutrients into cells and waste products out of cells. A diet rich in potassium helps to offset some of sodium's harmful effects on blood pressure.
Many people get all the potassium they need from what they eat and drink. Sources of potassium in the diet include:
- Leafy greens, such as spinach and collards
- Fruit from vines, such as grapes and blackberries
- Root vegetables, such as carrots and potatoes
- Citrus fruits, such as oranges and grapefruit
Your kidneys help to keep the right amount of potassium in your body. If you have chronic kidney disease, your kidneys may not remove extra potassium from the blood. Some medicines also can raise your potassium level. You may need a special diet to lower the amount of potassium that you eat.
[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.