Hyperphosphatemia, hypophosphotemia or other disorder of phosphate metabolism, severe or symptomatic: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =| CurrentStatus = | | OldDxArticle = | ||
| CurrentStatus = reconciled | |||
| InitialEditorAssigned = Gail Hall | | InitialEditorAssigned = Gail Hall | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=E83.3 | | ICD10 Code=E83.3 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category| Metabolic/nutrition}}{{ICD10 category|Respiratory}}{{ICD10 category|Gastrointestinal}}{{ICD10 category|Hereditary/congenital}} | |||
== Additional Info == | == 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) | |||
**PO4 > 2.0 '''OR''' | |||
**Any PO4 > 1.6 AND in the presence of signs or symptoms believed to be due to hyperphosphatemia '''OR''' | |||
**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 | |||
**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 | |||
== 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]] == | == Candidate [[Combined ICD10 codes]] == | ||
*list the cause of the problem | |||
*[[Tetany]] | |||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | |||
{{EndPlaceHolder}} |
Latest revision as of 07:40, 2020 June 26
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 |
This diagnosis is a part of ICD10 collection.
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)
- PO4 > 2.0 OR
- Any PO4 > 1.6 AND in the presence of signs or symptoms believed to be due to hyperphosphatemia OR
- 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
- 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
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
Related Articles
Show all ICD10 Subcategories