Edit ICD10 dx: Hypercalcemia

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{{ICD10 transition status | OldDxArticle = Other Metabolic problems | CurrentStatus = reconciled | InitialEditorAssigned = Joanna Velasco }} == Additional Info == * The criteria for coding this are: ** Ca++ >= 3.3 ** ionized Ca++ >=1.6 *Presence/absence of signs or symptoms are not part of the coding criterion, though they are: **GI - anorexia, nausea\vomiting, constipation, abdominal pain, increased acid production (dyspepsia, PUD), pancreatitis **Neuromuscular - weakness, proximal myopathy, decreased tone, decreased DTRs **CNS - CNS depression ( lethargy, confusion * coma), ataxia, abnormal EEG, depression, psychosis **Cardiovascular - hypertension, short QT interval, bradycardia, arrythmias **Renal - nephrogenic D.I., calcium nephropathy (stones, nephrocalcinosis, azotemia) **Miscellaneous - metastatic calcification See https://ccmdb.kuality.ca/index.php?title=Hypocalcemia&curid=5880&diff=136294&oldid=125421 Serum corrected calcium is not reported. Instead if there is a concern for hyper/hypocalcemia an ionized calcium is now recommended. {{ICD10 Guideline Electrolytes}} {{ICD10 Guideline repeated events}} == Alternate ICD10s to consider coding instead or in addition == *[[Hyperparathyroidism]] *[[Parathyroid disorder, NOS]] *[[Disorder of mineral metabolism, NOS]] *[[Weight loss, abnormal]] *[[Electrolyte disorder, NOS]] == Candidate [[Combined ICD10 codes]] == == Log == * [[Task Team Meeting - Rolling Agenda and Minutes 2025#ICU Database Task Group Meeting – February 27, 2025 | 2025-02-27 (item 4)]] - Changed from Ca++ > 3.5 '''OR''' any Ca++ > 2.55 AND in the presence of signs or symptoms believed to be due to hypercalcemia '''OR''' any Ca++ > 2.55 with active treatment for hypercalcemia * 2024-03-04 - SH/DSM sent out a memo that serum corrected calcium will no longer be reported. Instead if there is a concern for hyper/hypocalcemia an ionized calcium is now recommended. * [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2018#ICU Database Task Group Meeting – February 12, 2018 | 2018-02-12 (item 2)]] - decided to use thresholds as before ICD10 == Related CCI Codes == {{Data Integrity Check List}} == Related Articles == {{Related Articles}} {{ICD10 footer}} {{EndPlaceHolder}}

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