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Hypercalcemia: Difference between revisions

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{{ICD10 transition status
{{ICD10 transition status
| OldDxArticle = Hypercalcemia Ca GT 3.0| CurrentStatus = freshly automatically generated article
| OldDxArticle = Other Metabolic problems
| CurrentStatus = reconciled
| InitialEditorAssigned = Joanna Velasco
| InitialEditorAssigned = Joanna Velasco
| MinimumCombinedCodes =
}}
}}
{{ICD10 dx
{{ICD10 dx
| MinimumCombinedCodes =
| ICD10 Code=E83.52
| ICD10 Code=E83.52
| BugRequired=  
| BugRequired=  
}}
}}
{{ICD10 category|Metabolic/nutrition}}{{ICD10 category|Neoplastic}}


{{ICD10 category|Metabolic/nutrition}}{{ICD10 category|Neoplastic}}
== Additional Info ==
== 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 ==
== Alternate ICD10s to consider coding instead or in addition ==
(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
*[[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 ==


== Candidate [[Combined ICD10 codes]] ==
{{Data Integrity Check List}}
(put links to likely candidates coded with this one, eg. a cause for a trauma.)


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}


{{ICD10 footer}}
{{ICD10 footer}}
{{EndPlaceHolder}}
{{EndPlaceHolder}}
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