Results 1 to 6 of 6

icd9

  1. Question icd9
    Medical Coding Books
    can some one tell me what icd9 code you would use for liddle's syndrome?

  2. #2
    Location
    Pasadena, CA
    Posts
    54
    Default
    I think this is too rare of a disorder to have an ICD-9 code, can you just code the symptoms?

  3. Default
    it codes to hyperaldosteronism

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    It is actually pseudoaldosteronism, so I would suggest 276.4

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    per Encoder it codes to hyperaldosteronism. When you put in Liddle's Syndrome it says Liddle's Syndrome (pseudohyperaldosteronism). When you click on it, the next screen says 1. hyperaldosteronism unspecified 2. glucocorticoid remediable aldersteronism 3. conn's syndrome 4. bartter's syndrome 5. other secondary aldosteronism. Without any additional information, you have to click on the 1. hyperaldosteronism unspecified. The next screen says 1. specified as causing hypertension 2. with co-existing hypertension 3. no mention of hypertension or already coded. Have no choice but to go with 3. no mention of hypertension or already coded as I do not know if the pt has hypertension or not. The next screen says the code is 255.10 hyperaldosteronism unspecified. Obviously if there is hypertension or other information in the chart that I do not know, then it can affect the final code. However, without that information, this is what the code comes out to be. Personally I very rarely use Encoder as the tell all. However, when something is not specifically specified in the book, I tend to lean towards the Encoder for help, especially when doing research for the Liddle's Syndrome does state either pseudohyperaldosteronism or hyperaldosteronism. Anyways, regardless, the code I come up with is 255.10. Wish the book had every single syndrome/disease known to man listed in black and white, but unfortunately it does not. Hope this helps.

  6. #6
    Location
    Columbia, MO
    Posts
    12,531
    Default
    I usually use the Merck Manual to look up medical information, it states:
    Liddle syndrome is a rare hereditary disorder in which the kidneys excrete K but retain too much Na and water, leading to hypertension. Symptoms are of hypertension, fluid retention, and metabolic alkalosis. Diagnosis is through measurement of urinary electrolytes. K-sparing diuretics provide the best treatment.

    Liddle syndrome is a rare autosomal dominant disorder of renal epithelial transport that clinically resembles primary aldosteronism (see Adrenal Disorders: Primary Aldosteronism), with hypertension and hypokalemic metabolic alkalosis but without elevated plasma renin or aldosterone levels. The syndrome results from an inherently increased activity of the luminal membrane Na channels, which accelerates Na resorption and K secretion in the collecting tubule.

    Patients with Liddle syndrome present at < 35 yr. Hypertension and signs and symptoms of hypokalemia (see Fluid and Electrolyte Metabolism: Hypokalemia) and metabolic alkalosis occur.

    Diagnosis

    *
    Urine Na level
    *
    Plasma renin and aldosterone levels

    Diagnosis is suggested by the presence of hypertension in a young patient, particularly one with a positive family history. Low urine Na (< 20 mEq), normal plasma renin and aldosterone levels, and response to empiric treatment usually are considered sufficient to confirm the diagnosis. Definitive diagnosis can be achieved through genetic testing (see www.genetests.org for more information).
    My suggestion is to discuss this with your physician as you do need to get the right diagnosis code and you need his/her assistance on this to determine the correct synonym for Liddle syndrome.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Icd9 help - you would suggest
    By mamacase1 in forum Diagnosis Coding
    Replies: 1
    Last Post: 11-27-2012, 06:49 PM
  2. ICD9 help?
    By mamacase1 in forum Diagnosis Coding
    Replies: 1
    Last Post: 08-21-2012, 08:43 AM
  3. icd9 help-what ICD9 you would
    By mamacase1 in forum Diagnosis Coding
    Replies: 2
    Last Post: 06-12-2012, 08:27 AM
  4. ICD9 help
    By Tonyj in forum Diagnosis Coding
    Replies: 0
    Last Post: 06-08-2012, 12:07 PM
  5. Icd9 - you would use for absent
    By mamacase1 in forum Diagnosis Coding
    Replies: 6
    Last Post: 12-16-2010, 09:53 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.