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 = freshly automatically generated article
| OldDxArticle =
| CurrentStatus = reconciled
| InitialEditorAssigned = Gail Hall
| InitialEditorAssigned = Gail Hall
| MinimumCombinedCodes =
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{{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}}


{{ICD10 category|Respiratory}}{{ICD10 category|Gastrointestinal}}{{ICD10 category|Heredary/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




== Alternate ICD10s to consider coding instead ==
https://en.wikipedia.org/wiki/Hypophosphatemia
(turn these into links to the actual diagnosis articles if possible. For some that might make no sense.)
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]] ==
(put links to likely candidates coded with this one, eg. a cause for a trauma.)
*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.

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


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories

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

Candidate Combined ICD10 codes

  • list the cause of the problem
  • Tetany

Related CCI Codes

Data Integrity Checks (automatic list)

none found

Related Articles

Related articles:


Skin
Trauma
Renal/urinary
Infectious disease
ENT
Testing
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Mechanism
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Psych
Respiratory
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Neuro
Symptom/Sign
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