ICD-10 Coding for Parathyroid Disorders(E21.0)
Complete ICD-10-CM coding and documentation guide for Parathyroid Disorders. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Parathyroid Disorders
E21.0-E21.5Primary Range
Hyperparathyroidism and other disorders of parathyroid gland
This range covers primary, secondary, and tertiary hyperparathyroidism, as well as other parathyroid disorders.
Key Information: ICD-10 code for primary hyperparathyroidism
Essential facts and insights about Parathyroid Disorders
Primary ICD-10-CM Code for parathyroid
Decision Criteria
clinical Criteria
- Presence of elevated calcium and PTH with imaging confirmation of adenoma.
Applicable To
- Parathyroid adenoma
- Parathyroid hyperplasia
Clinical Validation Requirements
- Elevated serum calcium >10.5 mg/dL
- Elevated PTH >65 pg/mL
- Imaging confirmation (sestamibi scan or 4D-CT)
Code-Specific Risks
- Incorrectly coding secondary hyperparathyroidism as primary.
Coding Notes
- Ensure differentiation between primary and secondary causes of hyperparathyroidism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Kidney stones
N20.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Parathyroid Disorders to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E21.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always include imaging results in the patient's record., Ensure documentation is complete before coding.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of patient records and treatment plans.
Mitigation Strategy
Verify underlying cause and confirm with lab results and imaging.
Impact
Failure to distinguish between primary and secondary causes can lead to audit issues.
Mitigation Strategy
Ensure thorough documentation of lab results and imaging studies.
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 Parathyroid Disorders, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Parathyroid Disorders
Use these documentation templates to ensure complete and accurate documentation for Parathyroid Disorders. These templates include all required elements for proper coding and billing.
Parathyroidectomy Operative Note
Specialty: Endocrine SurgeryRequired Elements
- Pre-op diagnosis
- Procedure details
- Intraoperative findings
- Post-op plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Parathyroid Disorders? Ask your questions below.