Hypercalcemia: Difference between revisions
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{{ | {{ICD10 transition status | ||
| OldDxArticle = Other Metabolic problems | |||
| CurrentStatus = reconciled | |||
| InitialEditorAssigned = Joanna Velasco | |||
}} | |||
{{ICD10 dx | |||
| MinimumCombinedCodes = | |||
| ICD10 Code=E83.52 | |||
| BugRequired= | |||
}} | |||
{{ICD10 category|Metabolic/nutrition}}{{ICD10 category|Neoplastic}} | |||
== 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}} | |||
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