AHA Coding Clinic® for ICD-9 - 2007 Issue 3; Ask the Editor

Hungry Bone Syndrome (HBS)

This patient is a 19-year-old with end-stage renal disease (ESRD) who had a history of hypothyroidism, status post subtotal parathyroidectomy and thyroidectomy and now presents with persistent hypocalcemia and tetanic symptoms. The patient was noted to have ionized calcium of 2. The patient was started on IV calcium gluconate in addition to calcitriol in light of the severity of the hypocalcemia. The physician listed the final diagnosis as “persistent hypocalcemia after subtotal parathyroidectomy and thyroidectomy due to hungry bone syndrome (HBS).” What is the code assignment for hungry bone syndrome? ...

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