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E87.1

E87.1: Hypo-osmolality and hyponatremia

Billable / specific codeICD-10-CM

E87.1 is a billable, specific ICD-10-CM code for hypo-osmolality and hyponatremia. It is valid for submission on a claim.

Check E87.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • syndrome of inappropriate secretion of antidiuretic hormone (E22.2)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Sodium [Na] deficiency

Excludes1 inherited from the categories above E87.1

A category’s note binds every code beneath it.

Written on E87: Other disorders of fluid, electrolyte and acid-base balance

  • diabetes insipidus (E23.2)
  • electrolyte imbalance associated with hyperemesis gravidarum (O21.1)
  • electrolyte imbalance following ectopic or molar pregnancy (O08.5)
  • familial periodic paralysis (G72.3)
  • metabolic acidemia in newborn, unspecified (P19.9)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

E87.1 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57189Billing and Coding: Serum Magnesium
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck
  • A57326Billing and Coding: Electrocardiograms
  • A57361Billing and Coding: Monitored Anesthesia Care

Alphabetic index entries that lead here

  • Hypo-osmolality
  • Hyponatremia
  • Cramp›salt-depletion
  • Deficiency, deficient›natrium
  • Deficiency, deficient›salt
  • Deficiency, deficient›sodium(Na)
  • Depletion›salt or sodium
  • Findings, abnormal, inconclusive, without diagnosis›sodium(deficiency)
  • Low›salt syndrome
  • Syndrome›hyponatremic
  • Syndrome›hyposmolality
  • Syndrome›salt›depletion

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under E87

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.