Volume depletion E86- >

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code(s) for any associated disorders of electrolyte and acid-base balance (
    ICD-10-CM Diagnosis Code E87
    • E87 Other disorders of fluid, electrolyte and aci...
      • E87.0 Hyperosmolality and hypernatremia
      • E87.1 Hypo-osmolality and hyponatremia
      • E87.2 Acidosis
      • E87.3 Alkalosis
      • E87.4 Mixed disorder of acid-base balance
      • E87.5 Hyperkalemia
      • E87.6 Hypokalemia
      • E87.7 Fluid overload
        • E87.70 …… unspecified
        • E87.71 Transfusion associated circulatory overload
        • E87.79 Other fluid overload
      • E87.8 Other disorders of electrolyte and fluid bala...
    E87.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E86. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dehydration of newborn (
    ICD-10-CM Diagnosis Code P74.1

    Dehydration of newborn

      2016 2017 2018 Billable/Specific Code Code on Newborn Record
    P74.1
    )
  • hypovolemic shock NOS (
    ICD-10-CM Diagnosis Code R57.1

    Hypovolemic shock

      2016 2017 2018 Billable/Specific Code
    R57.1
    )
  • postprocedural hypovolemic shock (
    ICD-10-CM Diagnosis Code T81.19

    Other postprocedural shock

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Postprocedural hypovolemic shock
    T81.19
    )
  • traumatic hypovolemic shock (
    ICD-10-CM Diagnosis Code T79.4

    Traumatic shock

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Shock (immediate) (delayed) following injury
    Type 1 Excludes
    • anaphylactic shock due to adverse food reaction (T78.0-)
    • anaphylactic shock due to correct medicinal substance properly administered (T88.6)
    • anaphylactic shock due to serum (T80.5-)
    • anaphylactic shock NOS (T78.2)
    • anesthetic shock (T88.2)
    • electric shock (T75.4)
    • nontraumatic shock NEC (R57.-)
    • obstetric shock (O75.1)
    • postprocedural shock (T81.1-)
    • septic shock (R65.21)
    • shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • shock due to lightning (T75.01)
    • shock NOS (R57.9)
    T79.4
    )
Clinical Information
Codes