ICD Code E87.2

ICD code E87.2 is a classification used to identify and document the condition known as acidosis. Acidosis is a medical condition characterized by an excessive acidity in the blood and other body tissues, which can result from an accumulation of acid or a significant loss of bicarbonate. This condition can be caused by various factors, including kidney dysfunction, respiratory issues, or metabolic disturbances, and it requires careful management to prevent complications.

1. Presence of Metabolic Acidosis: Utilize the ICD code when there is a confirmed diagnosis of metabolic acidosis, characterized by a decrease in blood pH due to an accumulation of acid or a significant loss of bicarbonate.

2. Respiratory Acidosis Diagnosis: Apply the code when respiratory acidosis is diagnosed, which occurs when the lungs cannot remove all of the carbon dioxide the body produces, leading to a decrease in blood pH.

3. Symptoms of Hyperventilation: Use the code if the patient exhibits symptoms such as rapid breathing, confusion, fatigue, or lethargy, which may indicate an underlying acidosis condition.

4. Laboratory Findings: Confirmatory laboratory tests showing low blood pH (below 7.35), low bicarbonate levels, or elevated carbon dioxide levels in the blood should prompt the use of the ICD code.

5. Underlying Conditions: When acidosis is secondary to other conditions such as kidney failure, diabetic ketoacidosis, or lactic acidosis, the ICD code should be used to reflect the acidosis component of the patient's condition.

6. Chronic Conditions: In cases where acidosis is part of a chronic condition, such as chronic obstructive pulmonary disease (COPD) leading to respiratory acidosis, the ICD code should be applied.

7. Acute Episodes: For acute episodes of acidosis, whether metabolic or respiratory, the ICD code should be used to document the acute nature of the condition.

8. Clinical Evaluation: Use the ICD code when clinical evaluation and assessment by a healthcare provider confirm the presence of acidosis, based on symptoms, history, and diagnostic tests.

By adhering to these criteria, healthcare providers can ensure accurate documentation and coding, which is essential for effective revenue cycle management and optimal patient care.

For the ICD code E87.2 (Acidosis), the relevant CPT codes that may be applicable for treatment or management include:

1. 99201-99215: Evaluation and Management (E/M) codes for office or other outpatient visits, depending on the complexity and time spent with the patient.

2. 82947: Glucose; quantitative, blood (except reagent strip).

3. 82948: Glucose; blood, reagent strip.

4. 82962: Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use.

5. 80048: Basic metabolic panel (Calcium, total).

6. 80053: Comprehensive metabolic panel.

7. 84132: Potassium; serum, plasma, or whole blood.

8. 84133: Potassium; urine.

9. 84520: Urea nitrogen; quantitative.

10. 84550: Uric acid; blood.

11. 82803: Blood gases; pH only.

12. 82805: Blood gases; pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation).

These CPT codes are commonly associated with the diagnostic evaluation and management of conditions related to acidosis, and the specific codes used would depend on the clinical scenario and the services provided. Always ensure to verify with the latest coding guidelines and payer policies.

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