3 Chronic Kidney Disease, Stage 3 (Moderate) N18. 1 is the appropriate modern ICD10 code. Family history of hyperplastic colon polyps. ICD-10-CM Diagnosis Code N25. ICD-10. Patients were identified by ICD codes specific to secondary hyperparathyroidism of renal origin and the ACS-NSQIP variable for current preoperative dialysis. 89: Other specified disorders resulting from impaired renal function: 588. Since about half of the world population is vitamin D deficient, and about 1/7 have CKD, it is important to understand the condition in depth. 02 and ICD-10-CM E21. Secondary hyperparathyroidism of renal origin: N2589: Other disorders resulting from impaired renal tubular function: N341: Nonspecific urethritis : PDX Collection 0125: A1831:Methods Patients with secondary hyperparathyroidism who underwent parathyroidectomy were reviewed in the ACS-NSQIP database (2011–2016). Purely Excluded Conditions. ICD-9-CM 588. 0 Renal osteodystrophy. This occurs from a disorder either within the parathyroid glands (primary hyperparathyroidism) or as response to external stimuli (secondary hyperparathyroidism). Search Page 1/1: E21. 252. Thyroid and parathyroid. ICD-10-CM or ICD-10-PCS code value. We hope you find it helpful, and thanks for stopping by! ICD-10-CM or ICD-10-PCS code value. 02 Secondary hyperparathyroidism, non-renal; 588. My question is does he have to state that the secondary hyperparathyroidism is of renal origin in order for me to code it that way? Love Coding! Expert. 81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 588. 22, E09. The main initial serum biochemistry abnormalities are increases in fibroblast growth factor 23 (FGF23) and parathyroid hormone (PTH) and decreases in 1,25. 1 [convert to ICD-9-CM. 0) OTHER RENAL Q61. 6 End stage renal disease N18. 81 Secondary hyperparathyroidism of renal origin N28. Hyperprolactinemia (high prolactin hormone level); code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) ICD-10-CM Diagnosis Code E72. 81 Secondary Hyperthyroidism of Renal Origin ICD-10 Code: E11. 9 Diabetes Mellitus . This is the American ICD-10-CM version of N27. 81. N25. Secondary hyperparathyroidism (SHPT) is one of the most common metabolic complications resulting from chronic kidney disease (CKD). certain conditions originating in the perinatal period (P04-P96)certain infectious and parasitic diseases ()complications of pregnancy, childbirth and the puerperium ()congenital malformations, deformations and chromosomal abnormalities ()endocrine, nutritional and metabolic diseases (E00-E88)injury, poisoning and certain other consequences of. The 2024 edition of ICD-10-CM N21. Treatment of hyperphosphatemia. Observations were conducted on a group of 32 patients. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 01 Primary hyperparathyroidism; 252. ICD-10-CM Diagnosis Code E21. N25. secondary hyperparathyroidism of renal origin ; ICD-10-CM Diagnosis Code E21. Other Diagnosis Physician Documentation Example ICD-10 Codes Anemia in chronic kidney disease D63. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. ICD-9 code 588. 3. 1 Nephrogenic diabetes insipidus. 81. 588. 02 should only be used for claims with a date of service on or before September 30, 2015. 81 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Hyperparathyroidism is a disease characterized by excessive secretion of parathyroid hormone, an 84–amino acid polypeptide hormone. 1 Cyst of kidney acquired R305. 9ICD 10 code for Other lower urinary tract calculus. 8: Other pyelonephritis or pyonephrosis not specified as acute or chronic: 591. Billable Thru Sept 30/2015. Diarher a R590. 91 N36. 11 [convert to ICD-9-CM]ICD-10 code E21. 0); familial hypocalciuric hypercalcemia (E83. 86: Unplanned Readmission Rate at DRG: 22. We sought to identify additional patient or hospital factors that might contribute to hungry bone syndrome after parathyroidectomy. KDIGO “Clinical Practice Guidelines for Bone Metabolism and Disease in Chronic Kidney Disease” recommends testing for bone disease and disorders of calcium and phosphorus. 1 for Secondary hyperparathyroidism, not elsewhere classified is a medical classification as listed by WHO under the range -Disorders. N25. ICD-10-CM Code. 81 Secondary hyperparathyroidism of renal origin P37. Pathophysiology of CKD–MBD focused on. Secondary hyperparathyroidism of renal origin: N2589: Other disorders resulting from impaired renal tubular function: N259: Disorder resulting from impaired renal tubular function, unspecified:Uremic secondary hyperparathyroidism is a multifactorial and complex disease often present in advanced stages of chronic kidney disease. N25. E21. Plan: Will repeat labs in 1 year, CKD stable . What is hyperparathyroidism unspecified? A condition in which the parathyroid gland (one of four pea-sized organs found on the thyroid) makes too much parathyroid hormone. E05. Secondary hyperparathyroidism (SHPT) is caused by excessive PTH production and release, as well as parathyroid enlargement. 02: Hyperparathyroidism 252. 2 - other international versions of ICD-10 N26. Abstract. 00 should only be used for claims with a date of service on or before September 30, 2015. 1 because these conditions cannot occur together: secondary hyperparathyroidism of renal origin (N25. We hope you find it helpful, and thanks for stopping by! Complications of hyperparathyroidism are mainly related to the long-term effect of too little calcium in your bones and too much calcium in your bloodstream. 2 | Page PRO_44498E Internal Approved MMDDYYYY. PDX Collection 0921 (continued) N172: Acute kidney failure with medullary necrosis: N178: Other acute kidney failure: N179:. 8 may differ. Value ICD-10 Code 27 End-Stage Liver Disease 0. This is the American ICD-10-CM version of E21 - other international versions of ICD-10 E21 may differ. E20. 31 Body mass index [BMI] 31. Right diffuse secondary choroid atrophy. 81 should only be used for claims with a date of service on or before September 30, 2015. Acute renal failure following labor and/or delivery; Postpartum (after childbirth) acute kidney disease; non-anuria and oliguria (R34) ICD-10-CM Diagnosis Code H51. . 73 m 2 to >50% in patients with a GFR. Although the initial and predominant management of hyperparathyroidism (HPT) in ESKD is with. 3 may differ. Plan: Will repeat labs in 1 year, CKD stable . Background . 52) ICD-10-CM Diagnosis Code E83. ICD-10-CM Diagnosis Code E21. [convert to ICD-9-CM]N25. Multivariable logistic regression was used to identify independent factors associated with prolonged LOS and 30-day readmission after parathyroidectomy. The insulin resistance is almost. 22, E11. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 81 Secondary hyperparathyroidism of renal origin Q78. Secondary hyperparathyroidism (2° HPT) is the elevation of parathyroid hormone (PTH) in response to hypocalcemia induced by phosphate retention and reduced calcitriol synthesis as a consequence of reduced renal function. 0); familial hypocalciuric hypercalcemia (E83. 81 Secondary Hyperthyroidism of Renal Origin ICD-10 Code: E11. 9 is used to diagnose a patient with Type 2 Diabetes Mellitus without complications. 11 [convert to ICD-9-CM] ICD-10-CM Codes. 1 Cyst of kidney acquired R35. 89 hypercalcemia- associated with nephropathy. N17. Controlling serum levels of PTH, phosphorus, calcium, and 25-hydroxy vitamin-D improves morbidity and mortality in patients with CKD [ 54 ]. The condition can affect the body's ability to control potassium levels, leading to hyperkalemia. 2 [convert to ICD-9-CM] Other hyperparathyroidism. 899 Other long term (current) drug therapy Z94. ICD-9-CM Vol. Disease of the kidney structure called tubule. Hyperparathyroidism and other disorders of parathyroid gland. Perioperative. Renal hyperparathyroidism (rHPT) is a common complication of chronic kidney disease characterized by elevated parathyroid hormone levels secondary to derangements in the homeostasis of calcium, phosphate, and vitamin D. M83. Small kidney, unspecified. 9. 02 If the documentation does not specify that the secondary hyperparathyroidism is of renal origin, however, there is documentation of chronic kidney disease, do you make the assumption that the secondary hyperparathyroidsim is of renal origin?. Code Type: DIAGNOSIS: Specifies the type of code (Diagnosis / Procedure) Description: SECONDARY HYPERPARATHYROIDISM OF RENAL ORIGIN: Full code's title Code is valid for submission on a UB04: TRUE ICD-10-CM Diagnosis Code T46. . Note: dots are included. ICD-9-CM 252. ICD-10 code N25. It is not responsive to vasopressin (antidiuretic hormone), and it is characterized by excessive thirst and excessive urine production. . rHPT is classically broken into 2 types on the basis of the patient’s serum calcium level. HCC Plus. 81) who underwent parathyroidectomy with or without auto-transplantation were included. This was the first year ICD-10-CM was implemented into the HIPAA code set. Code Type: DIAGNOSIS: Specifies the type of code (Diagnosis / Procedure) Description: SECONDARY HYPERPARATHYROIDISM OF RENAL ORIGIN: Full code's title Code is valid for submission on a UB04: TRUEHyperparathyroidism, secondary (non renal); Secondary hyperparathyroidism of nonrenal origin; secondary hyperparathyroidism of renal origin (N25. ICD-10-CM Diagnosis Code N25. ICD 10 code for Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis. ICD-10 Games Learn codes with classic games like Flashcards and Hangman. We aimed to identify risk factors for early hypocalcemia after parathyroidectomy in patients with secondary hyperparathyroidism. ICD-10-CM Diagnosis Code E21. ICD-10 Code: N25. 92: Avg LOS with ICD N2581 - Secondary hyperparathyroidism of renal origin: 6. ICD-9-CM 588. 9 N19 N20. 81 Secondary hyperparathyroidism of renal origin . Renal tubulo-interstitial disorders in diseases classified elsewhere: N250: Renal osteodystrophy: N251: Nephrogenic diabetes insipidus: N2581: Secondary hyperparathyroidism of renal origin: N2589: Other disorders resulting from impaired renal tubular function: N259: Disorder resulting from impaired renal tubular function,. The 2024 edition of ICD-10-CM E83. 2); hungry bone syndrome (E83. The 2024 edition of ICD-10-CM E21. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. . Only patients diagnosed with secondary hyperparathyroidism of renal origin (ICD-10-CM Diagnosis Code N25. KDIGO “Clinical Practice Guidelines for Bone Metabolism and Disease in Chronic Kidney Disease” recommends testing for bone disease and disorders of calcium and phosphorus. ICD List 2023-2024 Edition. 02 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 252. Secondary hyperparathyroidism is common in patients with chronic kidney disease, affecting most of those who are receiving hemodialysis. 9. N25. 00. e characterized by quasi-autonomous production of Parathyroid Hormone from the parathyroid glands: a disorder that is termed Tertiary Hyperparathyroidism. This means that in all cases where the ICD9 code 252. Hyperparathyroidism, tertiary; Tertiary hyperparathyroidism; familial hypocalciuric hypercalcemia (E83. 252. 81 Secondary hyperparathyroidism of renal origin Z79. 20, E87. KDIGO “Clinical Practice Guidelines for Bone Metabolism and Disease in Chronic Kidney Disease” recommends testing for bone disease and disorders of calcium and phosphorus. 9 may differ. 02: Hyperparathyroidism 252. 4 Chronic kidney disease, stage 4 (severe) N18. 52) ICD-10-CM Diagnosis Code E22. This is the American ICD-10-CM version of N21. 2015 ICD-9-CM Diagnosis Code 588. N25. 0 – Hematuria, grossThe Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. 81 has the following ICD-10-CM references to the Index of Diseases and Injuries Type 1 Excludes Notes: secondary hyperparathyroidism, non. 2 CKD, stage 2 Kidney damage mild eGFR 60-89. 89 Other disorders resulting from impaired renal tubular function. 08 :Aims: Secondary hyperparathyroidism (SHPTH) is a leading cause of renal osteodystrophy, and an independent risk factor for all-cause and cardiovascular mortality. Because 2° HPT. Purely Excluded Conditions. N25. Renal hyperparathyroidism (rHPT) is a complex and challenging disorder. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. Secondary hyperparathyroidism (of renal origin) 2015. 81 converts directly to: 2024 ICD-10-CM N25. No ads, no spam, and it's free for everybody. 01 (E21. Hyperparathyroidism due to end stage renal disease on dialysis; Hyperparathyroidism due to renal insufficiency; Hyperparathyroidism, secondary; Secondary hyperparathyroidism; Secondary hyperparathyroidism due to esrd, on dialysis; ICD-10-CM N25. 3 became effective on October 1, 2023. 81 is a billable diagnosis code used to specify a medical diagnosis of secondary. 52); Tertiary hyperparathyroidism ICD-10-CM Diagnosis Code E21. 2. 3 result found: ICD-10-CM Diagnosis Code N25. 5. ICD-10-CM Diagnosis Code E21. 500 results found. 81 Secondary hyperparathyroidism of renal origin. Short description: Sec hyprprthyrd nonrenal. This is the American ICD-10-CM version of N26. 1 [convert to ICD-9-CM] Secondary hyperparathyroidism, not elsewhere classified. Definition. This is the American ICD-10-CM version of E21. Specifically for this code: secondary hyperparathyroidism of renal origin (N25. 9 Renal insufficiency Z99. 2 Other hyperparathyroidismICD-10 Code Chronic Kidney Disease 585. 81 Secondary hyperparathyroidism (of renal origin) ICD-10-CM Diagnosis Code E21. 1 may. The increased PTH secretion, in turn, causes increased calcium in the blood by acting on bones, intestines, and kidneys. 1. 1 Secondary Hyperparathyroidism of renal origin N25. 69: Readmission Rate at DRG: 32. -); ectopic hyperparathyroidism (E34. This free tool is designed to help billers and coders navigate the new ICD-10-CM code set. 252. Indexes. 89 Other. Bone disease. Treatment of Secondary Hyperparathyroidism. Renal and perinephric abscess: N158: Other specified renal tubulo-interstitial diseases: N159: Renal tubulo-interstitial disease, unspecified: N16: Renal tubulo-interstitial disorders in diseases classified elsewhere: N170: Acute kidney failure with tubular necrosis: N171: Acute kidney failure with acute cortical necrosis: N172 Hyperparathyroidism due to end stage renal disease on dialysis; Hyperparathyroidism due to renal insufficiency; Hyperparathyroidism, secondary; Secondary hyperparathyroidism; Secondary hyperparathyroidism due to esrd, on dialysis; ICD. 0-31. Metabolic bone disease due to increased bone resorption resulting from the acidosis and secondary hyperparathyroidism of renal insufficiency. 3 Chronic kidney disease, stage 3 (moderate) N18. 9 Diabetes Mellitus . 81 Secondary hyperparathyroidism of renal origin + + 4D: Impaired joint mobility, motor function, muscle performance, and. Primary hyperparathyroidism. ICD-10-CM N25. 89 Other specified abnormal findings of blood chemistryICD-10-CM Codes E20. AKF works on behalf of the 37 million Americans living with kidney disease, and the millions more at risk, to support people wherever they are in their fight against kidney disease — from prevention through post-transplant living. Look up free coding details for ICD-10 code range N25-N29 that cover Other disorders of kidney and ureter. 2005, changes have been made. 8 Other disorders resulting from impaired renal. 0 Calculus Of Kidney N25. -); ectopic hyperparathyroidism (E34. 81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 588. 1 became effective on October 1, 2023. Purely Excluded Conditions These diag codes should never be used at the. 81) ICD-10-CM Diagnosis Code E21. Plan: Will repeat labs in 1 year, CKD stable . 1 - other international versions of ICD-10 E21. . The ICD 10 Code for ARF is N17. 212. Hip fractures were identified based on relevant ICD codes (ICD8: 8200 or ICD 10: S720, S721, or S722) combined with a relevant code for a procedure (SKS code) related to hip. 0 became effective on October 1, 2023. 1 is a billable ICD-10 code used to specify a medical diagnosis of secondary hyperparathyroidism, not elsewhere classified. INTRODUCTION. The code N25. Tabs. 0 Documentaon for ARF • List the ARF N17. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. 0)—Primary hyperparathyroidism. 252. 10/01/2020 R5 Under ICD-10 Codes that Support Medical Necessity Group 1: Codes deleted N18. 0 Definitions Manual. Secondary hyperparathyroidism of renal origin N28. 152. KDIGO “Clinical Practice Guidelines for Bone Metabolism. Hypocalcemia is the most common complication of total parathyroidectomy in secondary hyperparathyroidism (SHPT) and is associated with adverse consequences such as spasms, epilepsy, and arrhythmia and even death if the serum calcium level decreases rapidly. 39 to the ‘Group 1 Codes’ and the following ICD-10-CM code has been deleted and therefore. 6 End stage renal disease N18. of calcium, phosphorus, vitamin D and parathyroid hormone (PTH). ↓ See below for any exclusions, inclusions or special notations. 0 Idiopathic hypoparathyroidism E20. 02 Secondary hyperparathyroidism, non-renal; 588. 89 Other disorders resulting from impaired renal tubular function. ICD-10-CM Diagnosis Code O14. This causes a loss of calcium from. 81. N25. 91 [convert to ICD-9-CM]. ; N25. 30X0 Chronic Gout due to renal impairment,. The most important cause of secondary hyperparathyroidism is chronic renal insufficiency. 2015. N25. 0 Hyperparathyroidism; 252. 81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 588. Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage renal disease on dialysis; Dm 2 w diabetic ckd, secondary hyperparathyroidism due to esrd, on dialysis; Hyperparathyroidism due to end stage renal disease on dialysis; Hyperparathyroidism due to renal insufficiency;. Symptoms of hyperparathyroidism are caused by inappropriately normal or elevated blood calcium. 252. 1 for Secondary hyperparathyroidism, not elsewhere classified is a medical classification as listed by WHO under the range -Disorders. N25. 1-N18. secondary(of renal origin) 588. D arrhi ea R509. 1 [convert to ICD-9-CM] Secondary hyperparathyroidism, not elsewhere classified. 1 - other international versions of ICD-10 E21. Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage renal disease on dialysis; Dm 2 w diabetic ckd, secondary hyperparathyroidism due to. 30X0 Chronic Gout due to renal impairment, unsp site, with tophus M1A. ICD-10 E21. KDIGO “Clinical Practice Guidelines for Bone Metabolism. Secondary hyperparathyroidism is an important feature of chronic kidney disease–mineral and bone disorder and plays an important role in the development of bone disease and vascular calcification. PMC4991918. 1 through N18. 0 may differ. 0 R1 Definitions Manual:. End stage renal disease: N189: Chronic kidney disease, unspecified: N19: Unspecified kidney failure: N250: Renal osteodystrophy: N251: Nephrogenic diabetes insipidus: N2581: Secondary hyperparathyroidism of renal origin: N2589: Other disorders resulting from impaired renal tubular function: N259: Disorder resulting from impaired renal tubular. 1 may differ. ICD-10 code N25. 9 § Decreased kidney function eGFR of <60 ml/min/1. Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end. 81 Secondary hyperparathyroidism of renal origin N28. 1: Secondary hyperparathyroidism, not elsewhere classified. E21. Rules. Family history of hyperplastic colon polyps. 9 Disorder resulting from impaired renal tubular function, unspecified. 73 m2 for ≥ 3 months. Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage renal disease on dialysis; Dm 2 w diabetic ckd, secondary hyperparathyroidism due to esrd, on dialysis; Hyperparathyroidism due to end stage renal disease on dialysis; Hyperparathyroidism due to renal insufficiency;. N26. 0); familial hypocalciuric hypercalcemia (E83. E20. 81. 0, E16-E31, E34. 89 Other. A type 1 excludes note is a pure excludes. Code Type: DIAGNOSIS: Specifies the type of code (Diagnosis / Procedure) Description: SECONDARY HYPERPARATHYROIDISM OF RENAL ORIGIN: Full code's title Code is valid for submission on a UB04: TRUEICD-10-CM Diagnosis Code T46. 2024 ICD-10-CM Range N00-N99. This condition has a high impact on the mortality and morbidity of dialysis patients. 252. Convergence insufficiency (eye condition) ICD-10-CM Diagnosis Code N25. N25. The 2024 edition of ICD-10-CM N25. 81 for Secondary hyperparathyroidism of renal origin. 2); hungry bone syndrome (E83. Common complications include: Osteoporosis. Data to inform counseling on parathyroidectomy for secondary hyperparathyroidism of renal origin Rebecca L. 275. ICD-9-CM 588. 31 and N18. The primary treatment for this is medical, involving supplementation with calcium, vitamin D and vitamin D alanogs, as well as reducing phosphorus levels with. ICD-10-CM Diagnosis Code N25. PMC4991918. 8 - other international versions of ICD-10 B07. Hyperparathyroidism and other disorders of parathyroid gland. Excludes1: secondary hyperparathyroidism, non-renal (E21. 81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 588. KDIGO “Clinical Practice Guidelines for Bone Metabolism and Disease. 81 - Secondary hyperparathyroidism of renal origin. Code History. unspFev, er fieci ed Z94. In kidney failure, the kidney is no longer able to make enough. ICD-10-CM10th Revision. 1 - other international versions of ICD-10 N26. 89 Other disorders resulting from impaired renal tubular function. ICD-10-CM Diagnosis Code Z83. 363 Alcoholic cirrhosis of liver without ascites K70. . Our aim is to establish differences in prevalence and profile of SHPTH, regarding diabetics or non-diabetics with chronic kidney disease (CKD). 81. E20. secondary of renal origin 588. Search All ICD-10 Toggle Dropdown. 9 Renal insufficiency Z99. M1030. Code Version: 2022 ICD-10-CM. ICD-10-CM Diagnosis Code I13. 6 End stage renal disease N25. 2 Cramp and spasm R53. Codes. 5 Chronic kidney disease, stage 5 N18. ICD-10-CM or ICD-10-PCS code value. 0): 698 Other kidney and urinary tract diagnoses. 4 Chronic Kidney Disease, Stage 4 (Severe). 9 may differ. Unari errqyfuency N13. N18. Search. 0 Definitions Manual: Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC. The management of secondary hyperparathyroidism in dialysis patients, the treatment of hyperphosphatemia, and indications for parathyroidectomy in patients with end-stage kidney disease are. 588. The treatment of secondary hyperparathyroidism in the predialysis patient with CKD and indications for parathyroidectomy in patients with end-stage kidney disease (ESKD) are presented separately. -) All neoplasms, whether functionally active or not, are classified in Chapter 2. CKD Stage 3, PTH = 70. Moreover, PTH. We sought to identify additional patient or hospital factors that might contribute to hungry bone syndrome after parathyroidectomy. The most important cause of secondary hyperparathyroidism is chronic renal insufficiency. 81 is VALID for claim submission. Adverse effect of angiotensin-converting-enzyme inhibitors, initial encounter. 81 Secondary Hyperthyroidism of Renal Origin ICD-10 Code: E11. 1. 81 converts directly to: 2024 ICD-10-CM N25. N27. 9 Vitamin D deficiency, unspecified. 1 Secondary hyperparathyroidism, not elsewhere classified; specified NEC - E21. 121 [convert to ICD-9-CM] Diffuse secondary atrophy of choroid, right eye. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. What is the ICD-10 code for secondary hyperparathyroidism? ICD-10-CM Code for Secondary hyperparathyroidism of renal origin N25. Patient has CKD and Secondary hyperparathyroidism, do we need to assume the linkage between both and code N25. This material is the result of work supported with resources and the use of facilities at the Veterans Affairs Ann Arbor Health Care. This list is intended to assist ordering physicians in providing ICD-10 Diagnostics codes as required by Medicare and other Insurers. 81 ICD-10 Billable Secondary hyperparathyroidism of renal origin Show additional info 588. 30X1 252. Secondary hyperparathyroidism is a condition in which a disease outside of the parathyroid glands causes all of the parathyroid glands to become enlarged and hyperactive.