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Hyperparathyroidism (high parathyroid hormone level) Clinical Information. A condition in which the parathyroid gland (one of four pea-sized organs found on the thyroid) makes too much parathyroid hormone. This causes a loss of calcium from the bones and an increased level of calcium in the blood.
E21.0 is a billable diagnosis code used to specify a medical diagnosis of primary hyperparathyroidism. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. adult osteomalacia (M83.-) type 2 excludes note represents "not included here".
Get crucial instructions for accurate ICD-10-CM E21 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
The diagnosis of normocalcemic hyperparathyroidism requires excluding secondary causes of elevated parathyroid hormone through a comprehensive clinical history, physical examination, and targeted laboratory investigations.
A condition of abnormally elevated output of parathyroid hormone due to parathyroid hyperplasia or parathyroid neoplasms. It is characterized by the combination of hypercalcemia, phosphaturia, elevated renal 1,25-dihydroxyvitamin d3 synthesis, and increased bone resorption.
Another type of problem where the calcium is normal and the PTH level is higher than normal is called normocalcemic primary hyperparathyroidism. Normocalcemic means the calcium level measured in the blood is in the normal range.