E83.81
Hungry bone syndrome
Clinical Classification Guidelines
Medical Intelligence & Overview
Hungry Bone Syndrome (HBS) is a condition that can occur after treatment for hyperparathyroidism or other conditions that affect calcium and mineral balance in the bones. It is characterized by rapid and profound drops in blood calcium levels, which can lead to muscle cramps, tingling, and other symptoms. The syndrome occurs as bones undergo a sudden increase in mineral uptake after the removal of excessive parathyroid hormone, resulting in a temporary imbalance of calcium in the bloodstream.
Causes & Symptoms
Clinical Causes: Surgical removal of overactive parathyroid glands (parathyroidectomy), especially in cases of primary hyperparathyroidism. Postoperative shift in calcium and phosphate from the bloodstream into the bones. Underlying bone disorders such as osteitis fibrosa cystica that lead to rapid bone remineralization post-treatment. Other conditions causing increased bone formation or turnover that lead to excessive mineral uptake.
Key Symptoms: Muscle cramps and weakness Numbness or tingling sensations, especially around the mouth or in the extremities Tetany, which involves involuntary muscle contractions Fatigue and general weakness Severe cases may experience seizures or heart rhythm disturbances
Diagnostic & Treatment
Diagnosis Path: Diagnosis of Hungry Bone Syndrome involves clinical assessment and laboratory tests. Key indicators include:
Treatment Protocols: Management of Hungry Bone Syndrome focuses on correcting calcium imbalance and preventing complications. Typical approaches include:
Clinical Advice & FAQs
Billing Guidance
Is E83.81 a billable ICD-10 code?
Yes, E83.81 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report E83.81?
Clinical documentation must specify the nature of Hungry bone syndrome and any associated comorbidities for accurate reporting.
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