ICD Code E83.52

ICD code E83.52 is a classification used to identify the medical condition known as hypercalcemia, which refers to an abnormally high level of calcium in the blood. This condition can lead to various health issues, including kidney stones, bone pain, and neurological symptoms, and often requires medical evaluation to determine the underlying cause and appropriate treatment.

When considering the use of the ICD code for hypercalcemia, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Elevated Serum Calcium Levels: Confirmed laboratory tests showing elevated levels of calcium in the blood, typically above 10.5 mg/dL.

2. Parathyroid Hormone (PTH) Levels: Assessment of PTH levels to determine if hypercalcemia is related to primary hyperparathyroidism or other causes.

3. Symptoms of Hypercalcemia: Presence of symptoms such as fatigue, weakness, confusion, or depression, which may indicate elevated calcium levels.

4. Gastrointestinal Symptoms: Occurrence of nausea, vomiting, constipation, or abdominal pain, which can be associated with hypercalcemia.

5. Renal Manifestations: Evidence of polyuria, polydipsia, or nephrolithiasis (kidney stones), which may be linked to high calcium levels.

6. Cardiovascular Symptoms: Detection of hypertension or arrhythmias, which can be related to hypercalcemia.

7. Bone Pain or Fractures: Reports of bone pain or a history of fractures, which may suggest underlying bone resorption due to elevated calcium.

8. Neurological Symptoms: Observation of neurological symptoms such as confusion, lethargy, or stupor, which can occur in severe cases of hypercalcemia.

9. Underlying Conditions: Identification of underlying conditions such as malignancy, sarcoidosis, or vitamin D intoxication that may contribute to hypercalcemia.

10. Family History: Consideration of family history of hypercalcemia or related endocrine disorders.

By systematically evaluating these criteria and symptoms, healthcare providers can accurately determine when to apply the ICD code for hypercalcemia in their clinical documentation and billing processes.

For the ICD code E83.52 (Hypercalcemia), the relevant CPT codes that may be applicable for treatment and management include:

1. CPT 82310 - Calcium; total

2. CPT 82330 - Calcium; ionized

3. CPT 80048 - Basic metabolic panel (Calcium, total)

4. CPT 82565 - Creatinine; blood

5. CPT 84132 - Potassium; serum, plasma, or whole blood

6. CPT 84436 - Thyroxine; total

7. CPT 84439 - Thyroxine; free

8. CPT 84443 - Thyroid stimulating hormone (TSH)

9. CPT 99201-99215 - Evaluation and Management Services (Office or other outpatient services)

10. CPT 96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour

These CPT codes are commonly used in the diagnostic evaluation and management of hypercalcemia, including laboratory tests and clinical services. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical context.

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