Hypophosphatemia: Difference between revisions

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== Additional Info ==

*ICD10 does not have separate codes for hyperphosphatemia and hypophosphatemia

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

*The parameters for coding hyperphosphatemia/hypophosphatemia are the following: (This change is active as of Feb 27,2025)

**PO4 > 2.~~0 '''OR'''~~

**PO4 >= 1.5

**~~Any PO4 >~~ 1.~~6 AND in the presence of signs or symptoms believed to be due to hyperphosphatemia '''OR'''~~

**P04 <=1.0

**Any PO4 > 1.6 with active treatment for hyperphosphatemia

**Hyperphosphatemia is not an acute clinical problem/issue

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

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

**PO4 < 0.3 '''OR'''

**Any PO4 < 1,0 AND in the presence of signs or symptoms believed to be due to hypophosphatemia '''OR'''

**Any PO4 < 1.0 with active treatment for hypophosphatemia

*Main signs and symptoms of hypophosphatemia are:

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

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 == Additional Info ==
 *ICD10 does not have separate codes for hyperphosphatemia and hypophosphatemia
-*The parameters for coding hyperphosphatemia are any of the following 3 items:  (This change is active as of Feb 12, 2018)
+*The parameters for coding hyperphosphatemia/hypophosphatemia are the following:  (This change is active as of Feb 27,2025)
-**PO4 > 2.0 '''OR'''
+**PO4 >= 1.5
-**Any PO4 > 1.6 AND in the presence of signs or symptoms believed to be due to hyperphosphatemia '''OR'''
+**P04 <=1.0
-**Any PO4 > 1.6 with active treatment for hyperphosphatemia
 **Hyperphosphatemia is not an acute clinical problem/issue
 ***It can be a long-term issue as it can lead to: metastatic calcification, hypocalcemia
-*The parameters for coding hypophosphatemia are any of the following 3 items:  (This change is active as of Feb 12, 2018)
-**PO4 < 0.3 '''OR'''
-**Any PO4 < 1,0 AND in the presence of signs or symptoms believed to be due to hypophosphatemia '''OR'''
-**Any PO4 < 1.0 with active treatment for hypophosphatemia
 *Main signs and symptoms of hypophosphatemia are:
 **neuromuscular - myopathy (weakness, increased CPK, respiratory failure, rhabdomyolysis), congestive cardiomyopathy