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E876 - ICD 10 Diagnosis Code - Hypokalemia - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to E876 - Hypokalemia

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

E876 - Hypokalemia - as a primary diagnosis code E876 - Hypokalemia - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.89
Readmission Rate (%) 24.95
Unplanned Readmission Rate (%) 16.35
Mortality Rate (%)
SNF Discharge Rate (%)
Home Discharge Rate (%)
PAYMENTS AND CHARGES
Total Medicare Payments
Payment Per Day
Payment Per Hospitalization
Total Medicare Charges
Avg. Charges
MARKET SIZING & INCIDENCE RATES
Total National Projected Hospitalizations - Annualized (Present on Admission - All)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All)
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes)
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y)
Total Medicare Hospitalizations after Exclusion

Top DRGs Associated With E876 - Hypokalemia - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 310,318
Total Hospitalizations with ICD E876 - Hypokalemia 25,836
DRG Share of Total Hospitalizations 0.94
% of Total ICD E876 - Hypokalemia in DRG 72.84
Avg LOS at DRG 3.19
Avg LOS with ICD E876 - Hypokalemia 2.89
Readmission Rate at DRG 20.19
Readmission Rate with ICD E876 - Hypokalemia 22.19
Unplanned Readmission Rate at DRG 13.62
Unplanned Readmission Rate with ICD E876 - Hypokalemia 14.71
Total Medicare payments at DRG $1,415,392,709
Total Medicare payments with ICD E876 - Hypokalemia $110,784,568
Total Medicare payment per Day at DRG $1,431
Total Medicare payment per Day with ICD E876 - Hypokalemia $1,483
Total Medicare payment per Hospitalization at DRG $4,561
Total Medicare payment per Hospitalization with ICD E876 - Hypokalemia $4,288
Total Medicare Charges at DRG $7,113,640,596
Total Medicare Charges with ICD E876 - Hypokalemia $557,682,121
Avg Charges at DRG $22,924
Avg Charges with ICD E876 - Hypokalemia $21,585
Mortality Rate at DRG 0.63
Mortality Rate with ICD E876 - Hypokalemia 0.31
SNF Discharge Rate at DRG 19.76
SNF Discharge Rate with ICD E876 - Hypokalemia 16.25
Home Discharge Rate at DRG 50.47
Home Discharge Rate with ICD E876 - Hypokalemia 55.89

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 28,142
Total Hospitalizations with ICD E876 - Hypokalemia 50
DRG Share of Total Hospitalizations 0.09
% of Total ICD E876 - Hypokalemia in DRG 0.14
Avg LOS at DRG 5.88
Avg LOS with ICD E876 - Hypokalemia 5.16
Readmission Rate at DRG 23.6
Readmission Rate with ICD E876 - Hypokalemia 31.25
Unplanned Readmission Rate at DRG 15.33
Unplanned Readmission Rate with ICD E876 - Hypokalemia NA
Total Medicare payments at DRG $317,761,689
Total Medicare payments with ICD E876 - Hypokalemia $550,683
Total Medicare payment per Day at DRG $1,919
Total Medicare payment per Day with ICD E876 - Hypokalemia $2,134
Total Medicare payment per Hospitalization at DRG $11,291
Total Medicare payment per Hospitalization with ICD E876 - Hypokalemia $11,014
Total Medicare Charges at DRG $1,612,718,515
Total Medicare Charges with ICD E876 - Hypokalemia $3,000,851
Avg Charges at DRG $57,306
Avg Charges with ICD E876 - Hypokalemia $60,017
Mortality Rate at DRG 0.56
Mortality Rate with ICD E876 - Hypokalemia NA
SNF Discharge Rate at DRG 18.42
SNF Discharge Rate with ICD E876 - Hypokalemia 22.0
Home Discharge Rate at DRG 50.45
Home Discharge Rate with ICD E876 - Hypokalemia 48.0

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE
Total Hospitalizations at DRG 6,842
Total Hospitalizations with ICD E876 - Hypokalemia 18
DRG Share of Total Hospitalizations 0.02
% of Total ICD E876 - Hypokalemia in DRG 0.05
Avg LOS at DRG 2.77
Avg LOS with ICD E876 - Hypokalemia 2.89
Readmission Rate at DRG 12.01
Readmission Rate with ICD E876 - Hypokalemia NA
Unplanned Readmission Rate at DRG 6.89
Unplanned Readmission Rate with ICD E876 - Hypokalemia NA
Total Medicare payments at DRG $43,915,959
Total Medicare payments with ICD E876 - Hypokalemia $88,890
Total Medicare payment per Day at DRG $2,317
Total Medicare payment per Day with ICD E876 - Hypokalemia $1,709
Total Medicare payment per Hospitalization at DRG $6,419
Total Medicare payment per Hospitalization with ICD E876 - Hypokalemia $4,938
Total Medicare Charges at DRG $263,107,771
Total Medicare Charges with ICD E876 - Hypokalemia $781,089
Avg Charges at DRG $38,455
Avg Charges with ICD E876 - Hypokalemia $43,394
Mortality Rate at DRG 0.16
Mortality Rate with ICD E876 - Hypokalemia NA
SNF Discharge Rate at DRG 8.1
SNF Discharge Rate with ICD E876 - Hypokalemia NA
Home Discharge Rate at DRG 72.74
Home Discharge Rate with ICD E876 - Hypokalemia 66.67

Top Hospitals Associated With E876 - Hypokalemia - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
METHODIST HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 84
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 83
BAPTIST MEDICAL CENTER JACKSONVILLE 800 PRUDENTIAL DR JACKSONVILLE FL 32207 83

Top Attending Physicians Associated With E876 - Hypokalemia - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 20
Dr. FAISAL WASI 905 NW 5TH ST STIGLER OK 74462 14
Dr. HEMANT KUMAR SINHA 35772 US HIGHWAY 231 ASHVILLE AL 35953 13

Top DRGs Associated With E876 - Hypokalemia - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,808,415
Total Hospitalizations with ICD E876 - Hypokalemia 358,303
DRG Share of Total Hospitalizations 5.5
% of Total ICD E876 - Hypokalemia in DRG 9.3
Avg LOS at DRG 6.34
Avg LOS with ICD E876 - Hypokalemia 7.44
Readmission Rate at DRG 24.2
Readmission Rate with ICD E876 - Hypokalemia 24.75
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD E876 - Hypokalemia 16.61
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD E876 - Hypokalemia $4,196,406,679
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD E876 - Hypokalemia $1,574
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD E876 - Hypokalemia $11,712
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD E876 - Hypokalemia $23,804,507,271
Avg Charges at DRG $59,254
Avg Charges with ICD E876 - Hypokalemia $66,437
Mortality Rate at DRG 12.11
Mortality Rate with ICD E876 - Hypokalemia 7.67
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD E876 - Hypokalemia 31.55
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD E876 - Hypokalemia 24.31

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 434,264
Total Hospitalizations with ICD E876 - Hypokalemia 70,059
DRG Share of Total Hospitalizations 1.32
% of Total ICD E876 - Hypokalemia in DRG 1.82
Avg LOS at DRG 3.94
Avg LOS with ICD E876 - Hypokalemia 4.5
Readmission Rate at DRG 22.76
Readmission Rate with ICD E876 - Hypokalemia 23.07
Unplanned Readmission Rate at DRG 16.46
Unplanned Readmission Rate with ICD E876 - Hypokalemia 16.81
Total Medicare payments at DRG $2,472,138,198
Total Medicare payments with ICD E876 - Hypokalemia $394,264,628
Total Medicare payment per Day at DRG $1,444
Total Medicare payment per Day with ICD E876 - Hypokalemia $1,251
Total Medicare payment per Hospitalization at DRG $5,693
Total Medicare payment per Hospitalization with ICD E876 - Hypokalemia $5,628
Total Medicare Charges at DRG $12,478,361,060
Total Medicare Charges with ICD E876 - Hypokalemia $2,224,220,735
Avg Charges at DRG $28,735
Avg Charges with ICD E876 - Hypokalemia $31,748
Mortality Rate at DRG 0.91
Mortality Rate with ICD E876 - Hypokalemia 0.48
SNF Discharge Rate at DRG 22.02
SNF Discharge Rate with ICD E876 - Hypokalemia 22.68
Home Discharge Rate at DRG 46.68
Home Discharge Rate with ICD E876 - Hypokalemia 46.83

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 365,119
Total Hospitalizations with ICD E876 - Hypokalemia 58,243
DRG Share of Total Hospitalizations 1.11
% of Total ICD E876 - Hypokalemia in DRG 1.51
Avg LOS at DRG 5.91
Avg LOS with ICD E876 - Hypokalemia 7.04
Readmission Rate at DRG 27.73
Readmission Rate with ICD E876 - Hypokalemia 27.47
Unplanned Readmission Rate at DRG 20.3
Unplanned Readmission Rate with ICD E876 - Hypokalemia 19.41
Total Medicare payments at DRG $3,552,910,533
Total Medicare payments with ICD E876 - Hypokalemia $566,037,203
Total Medicare payment per Day at DRG $1,646
Total Medicare payment per Day with ICD E876 - Hypokalemia $1,380
Total Medicare payment per Hospitalization at DRG $9,731
Total Medicare payment per Hospitalization with ICD E876 - Hypokalemia $9,719
Total Medicare Charges at DRG $16,860,985,198
Total Medicare Charges with ICD E876 - Hypokalemia $3,067,711,269
Avg Charges at DRG $46,179
Avg Charges with ICD E876 - Hypokalemia $52,671
Mortality Rate at DRG 5.06
Mortality Rate with ICD E876 - Hypokalemia 3.65
SNF Discharge Rate at DRG 28.7
SNF Discharge Rate with ICD E876 - Hypokalemia 33.63
Home Discharge Rate at DRG 32.16
Home Discharge Rate with ICD E876 - Hypokalemia 27.5

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 885: PSYCHOSES DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 408,103
Total Hospitalizations with ICD E876 - Hypokalemia 45,564
DRG Share of Total Hospitalizations 1.24
% of Total ICD E876 - Hypokalemia in DRG 1.18
Avg LOS at DRG 3.52
Avg LOS with ICD E876 - Hypokalemia 4.29
Readmission Rate at DRG 17.83
Readmission Rate with ICD E876 - Hypokalemia 19.21
Unplanned Readmission Rate at DRG 13.81
Unplanned Readmission Rate with ICD E876 - Hypokalemia 14.76
Total Medicare payments at DRG $2,416,862,532
Total Medicare payments with ICD E876 - Hypokalemia $274,421,990
Total Medicare payment per Day at DRG $1,682
Total Medicare payment per Day with ICD E876 - Hypokalemia $1,402
Total Medicare payment per Hospitalization at DRG $5,922
Total Medicare payment per Hospitalization with ICD E876 - Hypokalemia $6,023
Total Medicare Charges at DRG $13,267,744,847
Total Medicare Charges with ICD E876 - Hypokalemia $1,718,687,082
Avg Charges at DRG $32,511
Avg Charges with ICD E876 - Hypokalemia $37,720
Mortality Rate at DRG 0.72
Mortality Rate with ICD E876 - Hypokalemia 0.46
SNF Discharge Rate at DRG 14.1
SNF Discharge Rate with ICD E876 - Hypokalemia 17.94
Home Discharge Rate at DRG 62.97
Home Discharge Rate with ICD E876 - Hypokalemia 56.65

Top Hospitals Associated With E876 - Hypokalemia - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
METHODIST HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 8,607
ASCENSION VIA CHRISTI ST. FRANCIS 929 N SAINT FRANCIS ST WICHITA KS 67214 8,362
METHODIST UNIVERSITY HOSPITAL 1265 UNION AVE MEMPHIS TN 38104 8,044

Top Operating Physicians Associated With E876 - Hypokalemia - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. EDITH NEBUWA ANIEDOBE 1500 FOREST GLEN RD SILVER SPRING MD 20910 538
Dr. MICHAEL T SERLE 30 MEMORIAL DR PINEHURST NC 28374 421
Dr. HANY M HABASHY 1325 EASTMORELAND AVE MEMPHIS TN 38104 383

Top Attending Physicians Associated With E876 - Hypokalemia - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 2,110
Dr. FAISAL WASI 905 NW 5TH ST STIGLER OK 74462 1,317
Dr. RAJESH AGARWAL 6770 MAYFIELD RD MAYFIELD HEIGHTS OH 44124 1,245

AI Identified Top 50 Most Common Comorbid Conditions Associated With E876 - Hypokalemia   |  Back to Top


No ICD Diagnosis Code Description
1 E873 Alkalosis
2 E8342 Hypomagnesemia
3 K7010 Alcoholic hepatitis without ascites
4 T501X5A Adverse effect of loop [high-ceiling] diuretics, initial encounter
5 T502X5A Adverse effect of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, initial encounter
6 K912 Postsurgical malabsorption, not elsewhere classified
7 I4581 Long QT syndrome
8 E8351 Hypocalcemia
9 F10239 Alcohol dependence with withdrawal, unspecified
10 K5090 Crohn's disease, unspecified, without complications
11 E878 Other disorders of electrolyte and fluid balance, not elsewhere classified
12 K580 Irritable bowel syndrome with diarrhea
13 D61810 Antineoplastic chemotherapy induced pancytopenia
14 K521 Toxic gastroenteritis and colitis
15 F1020 Alcohol dependence, uncomplicated
16 Z9884 Bariatric surgery status
17 D6481 Anemia due to antineoplastic chemotherapy
18 T451X5A Adverse effect of antineoplastic and immunosuppressive drugs, initial encounter
19 K567 Ileus, unspecified
20 E43 Unspecified severe protein-calorie malnutrition
21 E8339 Other disorders of phosphorus metabolism
22 K222 Esophageal obstruction
23 R739 Hyperglycemia, unspecified
24 M6282 Rhabdomyolysis
25 M797 Fibromyalgia
26 F1010 Alcohol abuse, uncomplicated
27 I493 Ventricular premature depolarization
28 K760 Fatty (change of) liver, not elsewhere classified
29 C259 Malignant neoplasm of pancreas, unspecified
30 K529 Noninfective gastroenteritis and colitis, unspecified
31 A0472 Enterocolitis due to Clostridium difficile, not specified as recurrent
32 B370 Candidal stomatitis
33 Z681 Body mass index (BMI) 19 or less, adult
34 E874 Mixed disorder of acid-base balance
35 K209 Esophagitis, unspecified
36 C189 Malignant neoplasm of colon, unspecified
37 R9431 Abnormal electrocardiogram [ECG] [EKG]
38 E8809 Other disorders of plasma-protein metabolism, not elsewhere classified
39 R197 Diarrhea, unspecified
40 R112 Nausea with vomiting, unspecified
41 K449 Diaphragmatic hernia without obstruction or gangrene
42 Z6821 Body mass index (BMI) 21.0-21.9, adult
43 C50919 Malignant neoplasm of unspecified site of unspecified female breast
44 E46 Unspecified protein-calorie malnutrition
45 E870 Hyperosmolality and hypernatremia
46 E440 Moderate protein-calorie malnutrition
47 Z6823 Body mass index (BMI) 23.0-23.9, adult
48 G35 Multiple sclerosis
49 A084 Viral intestinal infection, unspecified
50 K7030 Alcoholic cirrhosis of liver without ascites