Hypophosphatemia: Difference between revisions

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== Additional Info ==

*ICD10 does not have separate codes for hyperphosphatemia and hypophosphatemia

*The single criterion for coding this is P04 <=0.5

*The ~~parameters~~ for coding ~~hyperphosphatemia/hypophosphatemia are the following:~~

*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:

**PO4 >= 1.5

**P04 <=1.0

*~~Hyperphosphatemia is not an acute clinical problem~~/~~issue~~

**It can be a long-term issue as it can lead to: metastatic calcification, hypocalcemia

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

**neuromuscular - myopathy (weakness, increased CPK, respiratory failure, rhabdomyolysis), congestive cardiomyopathy

**hematologic - hemolysis, WBC dysfunction, platelet dysfunction

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**bone - osteomalacia\Ricketts, bone pain

**cardiovascular - CHF

*Note that as of April 2025, there no longer is a code that includes hyperphosphatemia.

https://en.wikipedia.org/wiki/Hypophosphatemia

https://en.wikipedia.org/wiki/Hyperphosphatemia

@@ Line 12: / Line 12: @@
 == Additional Info ==
-*ICD10 does not have separate codes for hyperphosphatemia and hypophosphatemia
+*The single criterion for coding this is P04 <=0.5
-*The parameters for coding hyperphosphatemia/hypophosphatemia are the following:
+*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:
-**PO4 >= 1.5
-**P04 <=1.0
-*Hyperphosphatemia is not an acute clinical problem/issue
-**It can be a long-term issue as it can lead to: metastatic calcification, hypocalcemia
-*Main signs and symptoms of hypophosphatemia are:
 **neuromuscular - myopathy (weakness, increased CPK, respiratory failure, rhabdomyolysis), congestive cardiomyopathy
 **hematologic - hemolysis, WBC dysfunction, platelet dysfunction
@@ Line 26: / Line 19: @@
 **bone - osteomalacia\Ricketts, bone pain
 **cardiovascular - CHF
+*Note that as of April 2025, there no longer is a code that includes hyperphosphatemia.
 https://en.wikipedia.org/wiki/Hypophosphatemia
 https://en.wikipedia.org/wiki/Hyperphosphatemia
+{{ICD10 Guideline Electrolytes}}
 {{ICD10 Guideline repeated events}}