Hypercalcemia: Difference between revisions

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== Additional Info ==

~~{{ICD10 Guideline repeated events}}~~

* The criteria for coding this are:

** Ca++ >= 3.3

*The ~~parameters~~ for coding ~~hypercalcemia~~ are ~~any of the following 3 items~~: ~~(This change is active as of Feb 12, 2018)~~

** ionized Ca++ >=1.6

**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

*~~Main~~ signs ~~and~~ symptoms of ~~hypercalcemia~~ are:

*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

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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.

== Alternate ICD10s to consider coding instead or in addition ==

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== 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 ==

@@ Line 12: / Line 12: @@
 == Additional Info ==
-{{ICD10 Guideline repeated events}}
+* The criteria for coding this are:
+** Ca++ >= 3.3
-*The parameters for coding hypercalcemia are any of the following 3 items:  (This change is active as of Feb 12, 2018)
+** ionized Ca++ >=1.6
-**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
-*Main signs and symptoms of hypercalcemia are:
+*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
@@ Line 28: / Line 25: @@
 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 ==
@@ Line 37: / Line 39: @@
 == 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 ==