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Postprocedural hypoparathyroidism
ICD10CM code
#### Name of the Condition
- Postprocedural hypoparathyroidism
#### Summary
- Postprocedural hypoparathyroidism is a condition characterized by an insufficient production of parathyroid hormone (PTH) following surgical procedures, often related to the thyroid or parathyroid glands. This leads to low calcium levels in the blood.
#### Causes
- This condition often occurs after surgeries involving the thyroid gland, such as thyroidectomy, where the parathyroid glands are accidentally damaged or removed.
#### Risk Factors
- Individuals undergoing thyroid or parathyroid surgery are at increased risk. The likelihood may be higher in individuals with pre-existing thyroid conditions or those undergoing extensive neck surgeries.
#### Symptoms
- Symptoms include tingling or numbness, muscle cramps or spasms, fatigue, and more severe symptoms such as seizures or cardiac issues if calcium levels drop significantly.
#### Diagnosis
- Diagnosis typically involves blood tests checking for low calcium and PTH levels. An assessment of recent medical history and surgical interventions is also critical.
#### Treatment Options
- Treatment often includes calcium and vitamin D supplements to maintain normal calcium levels. In some cases, synthetic PTH may be administered. Each approach aims to manage symptoms and maintain calcium balance.
#### Prognosis and Follow-Up
- With proper management, individuals can lead normal lives. Regular monitoring of calcium and PTH levels is necessary to adjust treatment as needed.
#### Complications
- Without treatment, the condition can lead to serious issues such as heart complications, muscle spasms, and neurological disturbances.
#### Lifestyle & Prevention
- After surgery, maintaining a diet rich in calcium and vitamin D can assist in managing the condition. Awareness and preparation before surgery may help prevent occurrence.
#### When to Seek Professional Help
- Seek immediate medical attention if experiencing severe muscle cramps, tingling, numbness, or if you suspect complications following thyroid-related surgery.
#### Additional Resources
- American Thyroid Association (thyroid.org), National Endocrine and Metabolic Diseases Information Service (endocrine.niddk.nih.gov).
#### Tips for Medical Coders
- Ensure the surgery-related element is clear, as coding requires distinguishing between procedural and non-procedural hypoparathyroidism. Avoid coding errors by verifying post-surgical context.