ICD-10 Coding for Secondary Hyperparathyroidism of Renal Origin(N25.81, E21.1)
Complete ICD-10-CM coding and documentation guide for Secondary Hyperparathyroidism of Renal Origin. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Secondary Hyperparathyroidism of Renal Origin
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N25.81 | Secondary hyperparathyroidism of renal origin | Use when documentation explicitly links hyperparathyroidism to renal disease. |
|
| E21.1 | Secondary hyperparathyroidism, not elsewhere classified | Use when hyperparathyroidism is due to non-renal 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 secondary hyperparathyroidism of renal origin
Essential facts and insights about Secondary Hyperparathyroidism of Renal Origin
Primary ICD-10-CM Codes for secondary hyperparathyroidism of renal origin
Decision Criteria
clinical Criteria
- Presence of CKD stage 3a-5 with elevated PTH
documentation Criteria
- Explicit mention of renal origin in hyperparathyroidism
Applicable To
- Secondary hyperparathyroidism due to chronic kidney disease
Excludes
- Secondary hyperparathyroidism due to non-renal causes (E21.1)
Clinical Validation Requirements
- eGFR <45 mL/min/1.73m²
- PTH >65 pg/mL
- Radiographic evidence of renal osteodystrophy
Code-Specific Risks
- Incorrectly coding E21.1 when renal origin is not documented.
Coding Notes
- Ensure explicit documentation of renal origin for accurate coding.
E21.1 - Secondary hyperparathyroidism, not elsewhere classified
Use when hyperparathyroidism is due to non-renal causes.
Applicable To
- Secondary hyperparathyroidism due to vitamin D deficiency
Excludes
- Secondary hyperparathyroidism of renal origin (N25.81)
Clinical Validation Requirements
- Documentation of non-renal etiology
Coding Notes
Ensure non-renal cause is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Secondary Hyperparathyroidism of Renal Origin to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N25.81.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Educate providers on documentation requirements., Use templates that prompt for renal linkage.
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify documentation for renal linkage and use N25.81.
Impact
Failure to document renal origin can lead to incorrect coding.
Mitigation Strategy
Implement documentation audits and provider education.
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 Secondary Hyperparathyroidism of Renal Origin, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Secondary Hyperparathyroidism of Renal Origin
Use these documentation templates to ensure complete and accurate documentation for Secondary Hyperparathyroidism of Renal Origin. These templates include all required elements for proper coding and billing.
Nephrology Progress Note
Specialty: NephrologyRequired Elements
- CKD stage
- PTH levels
- Renal origin linkage
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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