E87.4

E87.4: Mixed disorder of acid-base balance

Billable / specific codeICD-10-CM

E87.4 is a billable, specific ICD-10-CM code for mixed disorder of acid-base balance. It is valid for submission on a claim.

Check E87.4 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above E87.4

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

E87.4 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
A57326Billing and Coding: Electrocardiograms
A57361Billing and Coding: Monitored Anesthesia Care
A59186Billing and Coding: Magnesium

Alphabetic index entries that lead here

Abnormal, abnormality, abnormalities›acid-base balance(mixed)
Acidosis›metabolic NEC›with respiratory acidosis
Alkalosis›metabolic›with respiratory acidosis
Disturbance›acid-base equilibrium›mixed
Disorder›balance›acid-base›mixed
Acidosis›respiratory›complicated by›metabolic›acidosis
Acidosis›respiratory›complicated by›metabolic›alkalosis

Code history

Unchanged in every release from FY2024 to FY2027.