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Acidosis caused by accumulation of lactic acid more rapidly than it can be metabolized. It may occur spontaneously or in association with diseases such as diabetes mellitus, leukemia, or liver failure.
ICD 10 code for Acute metabolic acidosis. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E87.21.
ICD 10 code for Chronic metabolic acidosis. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code E87.22.
E87.21 is a billable diagnosis code used to specify acute metabolic acidosis. View E87.21 free coding rules and guidelines, index references, synonyms, MS-DRG
E87.21 is a valid billable ICD-10 diagnosis code for Acute metabolic acidosis. It is found in the 2025 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025. ↓ See below for any exclusions, inclusions or special notations.
The code E87.21 has the following ICD-10-CM references to the Index of Diseases and Injuries. This code is grouped under diagnosis codes for endocrine, nutritional and metabolic diseases.
Long Description: Chronic metabolic acidosis; Code Version: 2025 ICD-10-CM; The code E87.22 is VALID for claim submission. Code Classification. Endocrine, nutritional and metabolic diseases (E00–E89) Metabolic disorders (E70-E88) Other disorders of fluid, electrolyte and acid-base balance (E87)
The options for metabolic acidosis are acute (E87.21), chronic (E87.22), and unspecified, at E87.20. Although “respiratory acidosis” indexes to E87.29, Other acidosis, respiratory acidosis with specified acuity indexes correspondingly to acute or chronic respiratory failure.
Get crucial instructions for accurate ICD-10-CM E87.22 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.
Alcoholic ketoacidosis; Diabetes, type 2 with ketoacidosis; Ketoacidosis due to acute alcohol intoxication; Ketoacidosis in type 2 diabetes mellitus; Ketoacidosis in type ii diabetes mellitus; Lactic acidosis; Metabolic acidosis; Metabolic acidosis, increased anion gap (iag); Respiratory acidosis; diabetic acidosis - see categories E08-E10, E11, E13 with ketoacidosis