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ICD-9-CM Codes

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  • 252.1 Hypoparathyroidism

  • Associated ICD-9-CM PT diagnoses/treatment diagnoses that may be directly related

    • 315.4 Developmental coordination disorder

    • 718.45 Contracture of joint, pelvic region, and thigh

    • 719.70 Difficulty in walking involving joint site unspecified

    • 728.2 Muscular wasting and disuse atrophy not elsewhere classified

    • 728.89 Other disorders of muscle, ligament, and fascia

    • 729.9 Other and unspecified disorders of soft tissue

    • 780.7 Malaise and fatigue

    • 781.2 Abnormality of gait

    • 782.3 Edema

    • 786.0 Dyspnea and respiratory abnormalities

    • 786.05 Shortness of breath

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ICD-10-CM Codes

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  • E20.0 Idiopathic hypoparathyroidism

  • E20.1 Pseudohypoparathyroidism

  • E20.8 Other hypoparathyroidism

  • E20.9 Hypoparathyroidism, unspecified

  • E89.2 Post-procedural hypoparathyroidism

  • P71.4 Transitory neonatal hypoparathyroidism

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Preferred Practice Patterns1

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Key Features

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Description

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  • Insufficient hyperparathyroid hormone from four parathyroid glands resulting in low calcium and high phosphorus

  • Muscle cramps

  • Low calcium

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Essentials of Diagnosis

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  • Muscle spasms as severe as tetany

  • Abdominal cramps

  • Low calcium

  • High phosphorus levels

  • Decreased calcium in urine

  • Positive Chvostek sign

  • Positive Trousseau phenomenon

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General Considerations

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  • Can be congenital or acquired2

  • Can have autoimmune bias2

  • Diagnosis for more occult problems may take time and require intensive medical diagnostic testing

  • May cause pathology in multiple organ systems

    • GI: liver

    • Cardiovascular: heart, peripheral circulation, blood pressure

    • Integumentary

  • May result in secondary problems indicating the need for PT intervention depending on severity

    • Aerobic capacity and muscle endurance impairment

    • Sarcopenia

    • Weakness/impaired muscle performance

    • Musculoskeletal problems

    • Neuromuscular problems

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Demographics

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  • Considered rare

  • Lifespan

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Clinical Findings

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Signs and Symptoms

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  • Signs and symptoms of hypocalcemia2

  • Hyperphosphatemia2

  • Peripheral paresthesias

  • Paresthesias in lips

  • Muscle aches/pain

  • Muscle cramps in lower extremities (LEs), abdomen, or face

  • Twitching or spasms in muscles and throat

  • Fatigue

  • Weakness

  • Painful menstruation

  • Patchy hair loss (e.g., eyebrows)

  • Dry, coarse, scaly skin

  • Brittle nails

  • Anxiety

  • Nervousness

  • Headaches

  • Depression, mood swings

  • Memory problems

  • Loss of consciousness/fainting

  • Seizures

  • Malformations of teeth

  • Kidney disease

  • Arrhythmias

  • Heart failure

  • Vision impairment; cataracts

  • Short stature

  • Slow mental development in children

  • Calcium deposits in the brain

  • Abdominal pain

  • Breathing difficulties secondary to throat spasms

  • Painful menstruation

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Functional Implications

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  • Inability or reluctance to leave home secondary to not feeling well or impaired mental status

  • Fatigue

  • Inability to focus

  • Kidney disease

  • Shortness of breath

  • Muscle performance deficits, inability to ambulate or perform self-care, and aerobic capacity limitation secondary to inactivity

  • Decreased exercise tolerance

  • Sleep disturbances

  • Changes in lifestyle

  • Inappropriate self-medication

  • Anxiety and irritability

  • Limitations in ADLs or IADLs

  • Neuropathy, increased risk for falls

  • Low mentation, need for ...

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