E87.22
Chronic metabolic acidosis
Clinical Classification Guidelines
Inclusion Terms
- Chronic lactic acidosis
Code First
- underlying etiology, if applicable
Medical Intelligence & Overview
Chronic metabolic acidosis is a long-term condition characterized by an excess of acid in the body due to a disturbance in the body's acid-base balance. This condition can develop gradually over time, often as a result of other underlying health issues. It is important to understand the causes, symptoms, and management approaches for chronic metabolic acidosis to effectively monitor and address it.
Causes & Symptoms
Clinical Causes: Chronic kidney disease, which impairs the kidneys' ability to remove acid from the body Prolonged diarrhea leading to loss of bicarbonate, a buffering agent that neutralizes acid Lactic acidosis resulting from conditions like severe infections, sepsis, or low oxygen levels in tissues Diabetic ketoacidosis in uncontrolled diabetes, producing excess organic acids Use of certain medications such as carbonic anhydrase inhibitors or excessive salicylate intake Inborn metabolic disorders affecting acid-base balance
Key Symptoms: Fatigue and weakness Shortness of breath Confusion or sleep disturbances Muscle weakness or cramps Digestive issues, including nausea and vomiting In severe cases, symptoms may include irregular heartbeat and decreased consciousness
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of medical history, physical examination, and laboratory tests. Blood tests measure blood pH, bicarbonate levels, and blood gases to assess acid-base balance. Additionally, urine tests may be conducted to evaluate kidney function and identify underlying causes. Imaging studies might be used to examine organ health, especially the kidneys.
Treatment Protocols: Management of chronic metabolic acidosis depends on its underlying cause. Treatment strategies may include:
Clinical Advice & FAQs
Billing Guidance
Is E87.22 a billable ICD-10 code?
Yes, E87.22 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report E87.22?
Clinical documentation must specify the nature of Chronic metabolic acidosis and any associated comorbidities for accurate reporting.
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