Facebook tracking pixel
E87.2
ICD-10-CM
Non-Anion Gap Metabolic Acidosis

Understand Non-Anion Gap Metabolic Acidosis diagnosis, causes, and treatment. Find information on clinical documentation, medical coding, ICD-10-CM codes, and laboratory findings for Non-Anion Gap Metabolic Acidosis. Learn about differential diagnosis, renal tubular acidosis, hyperchloremic metabolic acidosis, and relevant electrolyte disturbances. Explore resources for healthcare professionals, including clinical practice guidelines and medical billing information related to Non-Anion Gap Metabolic Acidosis.

Also known as

NAGMA
Hyperchloremic Acidosis
hyperchloremic metabolic acidosis
+1 more

Diagnosis Snapshot

Key Facts
  • Definition : Metabolic acidosis with normal anion gap. Reduced bicarbonate without increased anion gap.
  • Clinical Signs : Hyperventilation, weakness, fatigue, confusion. Can be asymptomatic.
  • Common Settings : Diarrhea, renal tubular acidosis, certain medications (acetazolamide).

Related ICD-10 Code Ranges

Complete code families applicable to AAPC E87.2 Coding
E87.2

Acidosis

Non-anion gap metabolic acidosis.

N25.89

Other renal tubular disorders

Can cause renal tubular acidosis, a form of non-anion gap metabolic acidosis.

R82.4

Abnormal findings urinalysis

May indicate renal issues contributing to non-anion gap metabolic acidosis.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the NAGMA due to renal failure?

  • Yes

    Acute or chronic renal failure?

  • No

    Is it due to GI losses?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Non-Anion Gap Metabolic Acidosis
RTA (Renal Tubular Acidosis)
Diarrhea induced acidosis

Documentation Best Practices

Documentation Checklist
  • Document specific cause of NAGMA (e.g., diarrhea, RTA)
  • Arterial blood gas showing low bicarbonate
  • Serum anion gap within normal range (8-12 mEq/L)
  • Calculate and document anion gap
  • Document clinical findings (e.g., dehydration, weakness)

Coding and Audit Risks

Common Risks
  • Unspecified cause

    Coding non-AGMA without documenting the underlying etiology leads to unspecified codes, impacting DRG and reimbursement.

  • RTA misclassification

    Renal Tubular Acidosis (RTA) can mimic non-AGMA. Misdiagnosis or incorrect coding of RTA impacts quality metrics and care.

  • Documentation disparity

    Inconsistent documentation between lab results, physician notes, and coded diagnosis can lead to audit discrepancies and denials.

Mitigation Tips

Best Practices
  • Document precise etiology: diarrhea, RTA, etc. (ICD-10-CM coding)
  • Check urine anion gap for RTA diagnosis (E87.2). Improve CDI.
  • Review meds: acetazolamide, spironolactone. Compliance audit.
  • Scrutinize serum potassium. Hypokalemia? Renal tubular acidosis?
  • Quantify GI losses for accurate fluid/electrolyte repletion.

Clinical Decision Support

Checklist
  • Verify low serum bicarbonate (<24 mEq/L)
  • Calculate anion gap (Na - Cl - HCO3)
  • Confirm anion gap within normal range (8-12 mEq/L)
  • Assess for GI bicarbonate loss (diarrhea, ostomies)
  • Review for renal tubular acidosis (RTA) indicators

Reimbursement and Quality Metrics

Impact Summary
  • Non-Anion Gap Metabolic Acidosis reimbursement hinges on accurate ICD-10-CM coding (E87.2) and supporting documentation for optimal payer reimbursements.
  • Coding quality directly impacts Case Mix Index (CMI) accuracy, affecting hospital reimbursement for Non-Anion Gap Metabolic Acidosis.
  • Properly coded NAGMA diagnoses contribute to accurate severity reporting, influencing hospital quality metrics and public perception.
  • Timely and specific NAGMA documentation improves physician query response rates, minimizing claim denials and maximizing revenue integrity.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code primary cause, e.g., diarrhea
  • Document serum chloride
  • RTA: code specific type
  • Consider secondary codes
  • Check 7.4 metabolic acidosis

Documentation Templates

Patient presents with non-anion gap metabolic acidosis, confirmed by arterial blood gas analysis revealing a low pH, low bicarbonate level, and a normal anion gap.  Differential diagnosis includes gastrointestinal bicarbonate loss (e.g., diarrhea, ileostomy output), renal tubular acidosis (RTA), early renal failure, Addison's disease, and administration of chloride-rich fluids.  Patient's history includes [insert relevant patient history such as diarrhea, medication use, or relevant comorbidities].  Physical examination reveals [insert pertinent physical exam findings such as signs of dehydration or altered mental status].  Laboratory data shows serum bicarbonate of [insert value] mEqL, pH of [insert value], pCO2 of [insert value] mmHg, and anion gap of [insert value] mEqL, confirming the diagnosis.  Further evaluation to determine the etiology of the non-anion gap metabolic acidosis will include [insert planned tests such as urine pH, urine anion gap, serum potassium, serum chloride, renal function tests, or adrenal function tests].  Initial management includes [insert initial treatments such as fluid resuscitation with isotonic saline or treatment of underlying conditions like diarrhea].  Treatment plan will be adjusted based on the underlying cause once identified.  ICD-10 code E87.2 is considered.  Continued monitoring of acid-base status and electrolyte levels is essential.
Non-Anion Gap Metabolic Acidosis - AI-Powered ICD-10 Documentation