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2025 ICD-10-CM code E20

Hypoparathyroidism

Code E20 is used for primary hypoparathyroidism. Do not use this code for secondary hypoparathyroidism due to hypercalcemia or for transient neonatal hypoparathyroidism (P71.4).

Medical necessity for treatment is established by documenting the presence of hypoparathyroidism through laboratory findings (low calcium and PTH levels) and correlating them with clinical symptoms. Treatment aims to restore calcium balance, prevent complications (tetany, seizures, cardiac arrhythmias), and improve quality of life.

Physicians diagnose hypoparathyroidism based on patient history, physical exam, and lab tests (blood calcium, phosphorus, magnesium, PTH levels; urine calcium). Treatment involves calcium and vitamin D supplements, dietary adjustments (high-calcium, low-phosphorus), and potentially intravenous calcium or PTH injections.

In simple words: Hypoparathyroidism is a rare condition where the body doesn't make enough parathyroid hormone, which helps control calcium and phosphorus levels. This can cause muscle cramps, tingling, and other problems.

A condition characterized by insufficient production of parathyroid hormone (PTH) by the parathyroid glands, leading to low calcium and high phosphorus levels in the blood.

Example 1: A patient presents with muscle cramps, tingling in the extremities, and a history of thyroid surgery. Blood tests reveal low calcium and PTH levels, confirming hypoparathyroidism likely caused by surgical damage to the parathyroid glands., A child exhibits developmental delays, dental problems, and seizures. Lab tests show low calcium and PTH, diagnosing hypoparathyroidism potentially due to a genetic condition like DiGeorge syndrome., An adult experiences fatigue, anxiety, and muscle weakness. Routine blood work reveals low calcium, prompting further investigation. Low PTH confirms hypoparathyroidism, requiring calcium and vitamin D supplementation.

Documentation should include signs and symptoms (muscle cramps, tingling, spasms), medical history (thyroid/neck surgery, radiation therapy, family history of endocrine disorders), lab results (calcium, phosphorus, magnesium, PTH levels), imaging findings (if applicable), and treatment plan.

** Excludes1: DiGeorge's syndrome (D82.1), postprocedural hypoparathyroidism (E89.2), tetany NOS (R29.0), transitory neonatal hypoparathyroidism (P71.4)

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