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

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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
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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)
    • 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

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