ICD Code E83.39

ICD code E83.39 is used to classify and identify medical conditions related to other disorders of phosphorus metabolism. This code is part of the International Classification of Diseases (ICD) system, which is utilized by healthcare providers to document and categorize various health conditions for billing, reporting, and statistical purposes. Disorders of phosphorus metabolism can include a range of conditions where the body's ability to process phosphorus is impaired, potentially affecting bone health, energy production, and overall metabolic function.

1. Hypophosphatemia: Use this code when a patient presents with abnormally low levels of phosphate in the blood, which may lead to symptoms such as muscle weakness, bone pain, or confusion.

2. Hyperphosphatemia: Apply this code for cases where there is an elevated level of phosphate in the blood, often associated with symptoms like itchy skin, joint pain, or muscle cramps.

3. Phosphate Diabetes (Familial Hypophosphatemic Rickets): Utilize this code for genetic disorders characterized by renal phosphate wasting, leading to symptoms such as bone deformities, growth retardation, and dental issues.

4. Tumor-Induced Osteomalacia: Use this code when a patient exhibits symptoms of bone pain and muscle weakness due to phosphate wasting caused by a tumor.

5. X-Linked Hypophosphatemia: This code is appropriate for cases involving a genetic disorder that results in low phosphate levels, leading to symptoms like bowed legs, short stature, and dental anomalies.

6. Fanconi Syndrome: Apply this code when diagnosing a condition that involves renal tubular dysfunction, resulting in phosphate loss, along with symptoms such as bone pain, growth failure, and electrolyte imbalances.

7. Hypophosphatasia: Use this code for a rare genetic disorder characterized by defective bone mineralization, leading to symptoms such as premature loss of teeth, skeletal abnormalities, and muscle weakness.

8. Chronic Kidney Disease (CKD) with Phosphorus Imbalance: Utilize this code when a patient with CKD presents with phosphorus metabolism disorders, which may manifest as bone pain, cardiovascular issues, or calcification of soft tissues.

9. Phosphate Nephropathy: Apply this code for conditions where phosphate deposits in the kidneys lead to symptoms such as reduced kidney function, electrolyte imbalances, and hypertension.

10. Secondary Hyperparathyroidism due to Phosphorus Imbalance: Use this code when a patient exhibits symptoms of secondary hyperparathyroidism, such as bone pain and muscle weakness, due to phosphorus metabolism disorders.

For the ICD code E83.39, "Other disorders of phosphorus metabolism," the relevant CPT codes that may be applicable for treatment or management include:

1. CPT 80048 - Basic Metabolic Panel (Calcium, total), which may be used to assess phosphorus levels as part of a broader metabolic evaluation.

2. CPT 84100 - Phosphorus; inorganic (phosphate), which is a specific test to measure the level of phosphorus in the blood.

3. CPT 96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour, which may be used if intravenous treatment is necessary.

4. CPT 96372 - Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular, which could be used for administering medications related to phosphorus metabolism disorders.

5. CPT 99201-99215 - Evaluation and Management Services, which cover office or other outpatient visits for evaluation and management of the condition.

These CPT codes are examples and may vary based on the specific treatment plan and clinical judgment of the healthcare provider. Always consult with a coding specialist or refer to the latest coding guidelines for precise coding practices.

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