Hyperphosphatemia, hypophosphotemia or other disorder of phosphate metabolism, severe or symptomatic

ICD10 Diagnosis
Dx:	Hyperphosphatemia, hypophosphotemia or other disorder of phosphate metabolism, severe or symptomatic
ICD10 code:	E83.3
Pre-ICD10 counterpart:	none assigned
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	2019-0: Renal/Metabolic NOS, 2019-0: Metabolic/Renal NOS
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • E83.3

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Additional Info

• ICD10 does not have separate codes for hyperphosphatemia and hypophosphatemia
• The parameters for coding hyperphosphatemia/hypophosphatemia are the following:
  • 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
  • CNS - metabolic encephalopathy (dizziness, irritability, obrundation, coma), seizures (rare), paresthesias
  • bone - osteomalacia\Ricketts, bone pain
  • cardiovascular - CHF

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

Repeated events

If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.

Example:

A person has a self-limited episode of A-fib. It goes away and then recurs. Only code the first one. A person has a self-limited episode of A-fib. It goes away but then he has an episode of V-tach. As this is a different diagnosis, both of these should be listed, but only code once each. Patient comes in with hypokalemia. It’s treated and remits, but the next day it recurs. Only code the first time.

Alternate ICD10s to consider coding instead or in addition

• Tetany
• Hyperparathyroidism
• Hypoparathyroidism
• Disorder of mineral metabolism, NOS
• Malnutrition
• Vitamin deficiency, NOS
• Nutritional deficiency, NOS
• Intestinal malabsorption, NOS
• Electrolyte disorder, NOS
• Effects of starvation

Candidate Combined ICD10 codes

• list the cause of the problem
• Tetany

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results