AHA Coding Clinic® for ICD-9 - 2008 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES

Hungry Bone Syndrome

Effective October 1, 2008, a new code (275.5) has been created to uniquely identify hungry bone syndrome (HBS). Prior to these changes, HBS was assigned to code 275.41, Hypocalcemia. Hungry bone syndrome (HBS) is a state of marked and prolonged hypocalcemia. HBS occurs in approximately 12% of patients post-parathyroidectomy. Symptoms include seizures, arrhythmia, prolonged QT, numbness, tetany, parasthesia, Chvostek’s sign, and Trousseau’s sign. HBS usually involves an extended history of prior elevated levels of parathyroid hormone, with some related bone demineralization, potentially with osteoporosis. The change in parathyroid hormone level to...

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