2025 ICD-10-CM code E21
(Active) Effective Date: N/A Endocrine, nutritional and metabolic diseases - Disorders of other endocrine glands 4 Feed
Hyperparathyroidism and other disorders of parathyroid gland
Medical necessity for treatment is established by demonstrating the clinical impact of hyperparathyroidism, such as bone loss, kidney stones, or neuromuscular symptoms.Treatment should aim to restore calcium and phosphorus balance and prevent long-term complications.
Diagnosis involves patient history, physical examination, and lab tests (calcium, phosphorus, magnesium, vitamin D, PTH levels, and kidney function). Imaging studies like X-rays and bone density assessments evaluate bone health. Treatment aims to address the underlying cause, supplement calcium and vitamin D, manage symptoms, and in severe cases, surgically remove affected parathyroid gland(s).
In simple words: Hyperparathyroidism occurs when the parathyroid glands in your neck make too much parathyroid hormone. This hormone controls calcium and phosphorus levels in your body.Too much of it can cause problems like weak bones, kidney stones, and feeling tired.
Hyperparathyroidism and other disorders of parathyroid gland. This encompasses conditions where the parathyroid glands produce excessive parathyroid hormone, leading to calcium and phosphorus imbalances. It can manifest as primary hyperparathyroidism (due to gland enlargement or overactivity) or secondary hyperparathyroidism (resulting from underlying diseases).Clinical manifestations can include osteoporosis, bone and joint pain, kidney stones, urinary frequency, weakness, fatigue, depression, memory loss, and gastrointestinal issues.
Example 1: A 60-year-old female presents with recurrent kidney stones, fatigue, and bone pain. Lab results reveal elevated calcium and parathyroid hormone levels, confirming primary hyperparathyroidism.She undergoes parathyroidectomy to remove the affected gland., A patient with chronic kidney disease develops secondary hyperparathyroidism due to impaired calcium and phosphorus regulation. Treatment focuses on managing the underlying kidney disease and prescribing medications to control parathyroid hormone levels., A postmenopausal woman experiences a fragility fracture and is diagnosed with osteoporosis.Further investigation reveals elevated parathyroid hormone and calcium, indicating hyperparathyroidism as a contributing factor to her bone loss.
Documentation should include signs and symptoms, lab results (calcium, phosphorus, PTH), imaging findings (X-rays, bone density scans), and details of any surgical intervention.Medical necessity for procedures like parathyroidectomy should be clearly justified.
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- Specialties:Endocrinology, Nephrology, Orthopedics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Independent Clinic