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
Acidosis
Non-anion gap metabolic acidosis.
Other renal tubular disorders
Can cause renal tubular acidosis, a form of non-anion gap metabolic acidosis.
Abnormal findings urinalysis
May indicate renal issues contributing to non-anion gap metabolic acidosis.
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?
When to use each related code
Description |
---|
Non-Anion Gap Metabolic Acidosis |
RTA (Renal Tubular Acidosis) |
Diarrhea induced acidosis |
Coding non-AGMA without documenting the underlying etiology leads to unspecified codes, impacting DRG and reimbursement.
Renal Tubular Acidosis (RTA) can mimic non-AGMA. Misdiagnosis or incorrect coding of RTA impacts quality metrics and care.
Inconsistent documentation between lab results, physician notes, and coded diagnosis can lead to audit discrepancies and denials.
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.