Since the hydrogen ion is positively charged, the other portion is the anion it is negatively charged. The companion portion of the molecule to the hydrogen ion is called the conjugate base. Those charged particles can interact chemically with other particles. Less than 7.0 is acidic, more than 7.0 is alkaline or basic. A reading of 7.0 is considered neutral, but there are still hydrogen ions around, 10 -7 to be precise. pH is based on the concentration of H+ ions. pH, standing for “power of hydrogen,” is a logarithmic scale representing how acidic or alkaline a solution is. Stronger acids have a high degree of ionization, so there are relatively more free hydrogen ions floating around.

It usually exists in an equilibrium as the acid and its ionized parts. It was a great review for me.Įver wonder what the difference between lactate and lactic acid is?Īn acid is a compound that can donate a hydrogen ion. Since it is coded as acidosis anyway, I figured it was an “A” topic, alphabetically speaking. The coders need to know the coding nuances, and why the clinicians and CDISs are doing what they are doing.Ī few weeks ago, a listener, Lori, asked me to tackle lactic acidosis, so I put it on my list.

The CDISs need to know what the provider is thinking, and how to coax them into using codable verbiage. The providers need to know the clinical criteria, plus when and how to document the condition. It takes me a while to research the topics and decide what each group needs. A few weeks ago, I introduced my new project I’m affectionately referring to it as “A Question a Day Keeps the Queries Away.” It is going to be a curriculum for providers, clinical documentation improvement specialists (CDISs), and coders, taught in parallel.

Icd 10 code for sepsis