Other specified disorders of parathyroid gland
ICD-10 E21.4 is a billable code used to indicate a diagnosis of other specified disorders of parathyroid gland.
The parathyroid glands are small endocrine glands located behind the thyroid gland that play a crucial role in regulating calcium levels in the blood through the secretion of parathyroid hormone (PTH). Disorders of the parathyroid gland can lead to abnormal calcium metabolism, resulting in conditions such as hyperparathyroidism or hypoparathyroidism. E21.4 encompasses a variety of less common parathyroid disorders that do not fit neatly into the more defined categories of primary or secondary hyperparathyroidism. These may include conditions such as parathyroid adenomas, parathyroid carcinoma, or genetic syndromes affecting parathyroid function. Clinically, patients may present with symptoms related to calcium imbalance, including bone pain, kidney stones, fatigue, and neuromuscular irritability. Diagnosis typically involves serum calcium and PTH level measurements, imaging studies, and sometimes biopsy. Treatment options vary based on the specific disorder but may include surgical intervention, medication to manage calcium levels, or monitoring in asymptomatic cases. Accurate coding of these disorders is essential for appropriate treatment and reimbursement.
Detailed clinical notes including lab results, imaging studies, and treatment plans.
Patients presenting with hypercalcemia, bone pain, or kidney stones.
Endocrinologists must ensure that all relevant endocrine disorders are considered and documented.
Operative reports detailing the surgical approach and findings during parathyroid surgery.
Patients undergoing parathyroidectomy for adenomas or carcinoma.
Surgeons should document the rationale for surgery and any intraoperative findings.
Used when a patient undergoes surgery for a parathyroid adenoma.
Operative report detailing the procedure and findings.
Endocrinologists and surgeons must coordinate documentation to ensure accurate coding.
E21.4 includes various unspecified disorders of the parathyroid gland, such as rare genetic syndromes, parathyroid adenomas, and other conditions that do not fit into the more defined categories of hyperparathyroidism.
Accurate coding requires thorough documentation of the patient's clinical presentation, laboratory results, and any imaging studies. Always verify that the specific disorder is clearly identified in the medical record.
