ICD-10 Coding for Hypophosphatemia(E83.31, E83.39)
Complete ICD-10-CM coding and documentation guide for Hypophosphatemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypophosphatemia
E83.3Primary Range
Disorders of phosphorus metabolism and phosphatases
This range includes codes for various disorders related to phosphorus metabolism, including hypophosphatemia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E83.31 | Familial hypophosphatemia | Use when genetic testing confirms familial hypophosphatemia. |
|
| E83.39 | Other disorders of phosphorus metabolism | Use for acquired hypophosphatemia due to specific causes. |
|
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 familial hypophosphatemia
Essential facts and insights about Hypophosphatemia
Primary ICD-10-CM Codes for hypophosphatemia
Decision Criteria
clinical Criteria
- Genetic testing confirms familial hypophosphatemia.
Applicable To
- X-linked hypophosphatemic rickets
- Autosomal dominant hypophosphatemic bone disease
Excludes
- Acquired hypophosphatemia (E83.39)
Clinical Validation Requirements
- Genetic testing confirmation (e.g., PHEX mutation)
- Family history of hypophosphatemia
Code-Specific Risks
- Misclassification if genetic confirmation is not documented.
Coding Notes
- Ensure genetic confirmation is documented before using this code.
E83.39 - Other disorders of phosphorus metabolism
Use for acquired hypophosphatemia due to specific causes.
Applicable To
- Acquired hypophosphatemia
Excludes
- Familial hypophosphatemia (E83.31)
Clinical Validation Requirements
- Serum phosphate <2.8 mg/dL
- Documented cause such as diuretic use or vitamin D deficiency
Coding Notes
Document the specific cause of hypophosphatemia to support code selection.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypophosphatemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E83.31.
Impact
Clinical: Misclassification of genetic vs. acquired hypophosphatemia., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Ensure genetic testing results are documented.
Impact
Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on the cause of hypophosphatemia.
Mitigation Strategy
Document the specific cause of hypophosphatemia.
Impact
Failure to document underlying causes can lead to audit findings.
Mitigation Strategy
Ensure comprehensive documentation of all contributing factors.
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 Hypophosphatemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypophosphatemia
Use these documentation templates to ensure complete and accurate documentation for Hypophosphatemia. These templates include all required elements for proper coding and billing.
Acquired hypophosphatemia due to diuretics
Specialty: NephrologyRequired Elements
- Serum phosphate levels
- Medication history
- Symptoms such as muscle weakness
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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