Hypercalcemia: Difference between revisions

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== Additional Info ==

* The ~~parameters~~ for coding ~~hypercalcemia (using total serum calcium) is the following~~:

* The criteria for coding this are:

** Ca++ >= 3.3

** ionized Ca++ >=1.6

*~~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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Serum corrected calcium is not reported. Instead if there is a concern for hyper/hypocalcemia an ionized calcium is now recommended.

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== Log ==

* 2025-02-27 - 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

* [[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

@@ Line 12: / Line 12: @@
 == Additional Info ==
-* The parameters for coding hypercalcemia (using total serum calcium) is the following:
+* The criteria for coding this are:
 ** Ca++ >= 3.3
 ** ionized Ca++ >=1.6
-*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 28: @@
 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}}
@@ Line 40: / Line 41: @@
 == Log ==
-* 2025-02-27 - 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
+* [[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