Primary hyperparathyroidism
ICD-10 E21.0 is a billable code used to indicate a diagnosis of primary hyperparathyroidism.
Primary hyperparathyroidism (PHPT) is a condition characterized by the excessive secretion of parathyroid hormone (PTH) from the parathyroid glands, leading to elevated levels of calcium in the blood (hypercalcemia). This disorder is often caused by a benign tumor on one of the parathyroid glands (adenoma), hyperplasia of the glands, or, less commonly, parathyroid carcinoma. The condition can result in a variety of symptoms, including fatigue, weakness, depression, bone pain, kidney stones, and gastrointestinal disturbances. Diagnosis typically involves measuring serum calcium and PTH levels, and imaging studies may be used to identify any adenomas. Treatment often involves surgical removal of the affected gland(s), and management may also include monitoring and addressing complications such as osteoporosis and renal calculi. Understanding the interplay between parathyroid function and other endocrine glands, such as the pituitary and adrenal glands, is crucial, as hormone imbalances can lead to a range of systemic effects.
Comprehensive lab results, imaging studies, and treatment plans.
Patients presenting with hypercalcemia, bone pain, or kidney stones.
Ensure clear documentation of PTH levels and calcium status.
Operative reports detailing the surgical procedure and findings.
Patients undergoing parathyroidectomy for adenoma removal.
Document indications for surgery and pre-operative evaluations.
Used when a patient with primary hyperparathyroidism undergoes surgical removal of the affected parathyroid gland.
Operative report detailing the procedure and findings.
Endocrinologists and surgeons must coordinate documentation to ensure clarity.
Common symptoms include fatigue, weakness, depression, bone pain, kidney stones, and gastrointestinal issues such as nausea and constipation.
Diagnosis is typically made through blood tests showing elevated calcium and parathyroid hormone levels, along with imaging studies to identify any adenomas.
