ICD-10 Coding for Hypoparathyroidism(E20.810, E89.2)
Complete ICD-10-CM coding and documentation guide for Hypoparathyroidism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypoparathyroidism
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E20.810 | Autosomal dominant hypocalcemia | Use when genetic testing confirms autosomal dominant hypocalcemia due to CASR mutation. |
|
| E89.2 | Postprocedural hypoparathyroidism | Use for chronic hypoparathyroidism following surgical procedures. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for autosomal dominant hypocalcemia
Essential facts and insights about Hypoparathyroidism
Primary ICD-10-CM Codes for hypoparathyroidism
Decision Criteria
clinical Criteria
- Confirmed CASR mutation with hypocalcemia.
Applicable To
- Hypocalcemia due to CASR mutation
Excludes
- DiGeorge syndrome
- Postprocedural hypoparathyroidism
Clinical Validation Requirements
- Genetic testing confirming CASR mutation
- Serum calcium <8.5 mg/dL
- PTH <15 pg/mL
Code-Specific Risks
- Misidentifying genetic hypocalcemia without genetic confirmation.
Coding Notes
- Ensure genetic confirmation is documented before using this code.
E89.2 - Postprocedural hypoparathyroidism
Use for chronic hypoparathyroidism following surgical procedures.
Applicable To
- Hypoparathyroidism following thyroidectomy
Excludes
- Temporary postprocedural hypoparathyroidism
Clinical Validation Requirements
- History of thyroidectomy
- Persistent hypocalcemia >12 months post-surgery
Coding Notes
Ensure documentation specifies the chronic nature post-surgery.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tetany
R29.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypoparathyroidism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E20.810.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Ensure surgical history is reviewed and documented., Use templates to capture necessary details.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Decreases the accuracy of patient records.
Mitigation Strategy
Query the provider for specific etiology or type of hypoparathyroidism.
Impact
High risk of audits when using E20.9 without specific etiology.
Mitigation Strategy
Ensure detailed documentation of the type and cause of hypoparathyroidism.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hypoparathyroidism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypoparathyroidism
Use these documentation templates to ensure complete and accurate documentation for Hypoparathyroidism. These templates include all required elements for proper coding and billing.
Chronic postsurgical hypoparathyroidism
Specialty: EndocrinologyRequired Elements
- Surgical history
- Current calcium and PTH levels
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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