ICD-10 Code: N25. The most important cause of secondary hyperparathyroidism is chronic renal insufficiency. 0 Primary hyperparathyroidism E21. 588. The 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. E21. 89 Other disorders resulting from impaired renal. 9 Diabetes Mellitus . N22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Plan: Will repeat labs in 1 year, CKD stable . This is the American ICD-10-CM version of N25. ICD-9-CM 588. 8 for Other disorders resulting from impaired renal tubular function is a medical classification as listed by WHO under the range -Oth. 899. This is the American ICD-10-CM version of N27. 5 Chronic kidney disease, stage 5 N18. 8 may differ. Primary hyperparathyroidism is rare in children; hyperplasia is more frequent during. 81 because these conditions cannot occur together: secondary hyperparathyroidism, non-renal (E21. rHPT is classically broken into 2 types on the basis of the patient’s serum calcium level. Messages 371 Location Tempe, AZ Best answers 0. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Secondary hyperparathyroidism of renal origin Q78. This topic reviews the management of secondary hyperparathyroidism in dialysis patients. In addition, they had to be started on an intravenous calcium gluconate infusion after surgery with either the original or new regimen. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. It is found in the 2024 version of the ICD-10. 00. by the occurrence of SHPT using either an ICD-10-GM code N25. 0 Renal osteodystrophy. 11 Nausea oanl e R791. secondary hyperparathyroidism of renal origin ; ICD-10-CM Diagnosis Code E21. Type 2 Excludes. 1 may differ. N25. 4 Chronic kidney disease, stage 4 (severe) N18. Secondary hyperparathyroidism (of renal origin) 2015. ICD-10-CM/PCS MS-DRG v40. ; N25. N26. It is not responsive to vasopressin (antidiuretic hormone), and it is characterized by excessive thirst and excessive urine production. Appropriate codes in this chapter (i. 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. 89. Tertiary hyperparathyroidismI272 - ICD 10 Diagnosis Code - Other secondary pulmonary hypertension - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians. 81 became effective on October 1, 2022. 81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 588. 2015. 2 [convert to ICD-9-CM] Other hyperparathyroidism. This is the American ICD-10-CM version of E21 - other international versions of ICD-10 E21 may differ. ICD-10-CM Diagnosis Code Z83. Available for iPhone, iPad, Android, and Web. 0 - E21. 3) gynecomastia (N62) From Chapter 4: transitory endocrine and metabolic. Common complications include: Osteoporosis. ICD-10-CM Diagnosis Code N25. ICD-10 code N25. 5 to ICD-9-CM. . 2024 ICD-10-CM Range E00-E89. 1 is a billable ICD-10 code used to specify a medical diagnosis of secondary hyperparathyroidism, not elsewhere classified. 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. 81. 1) ICD-10. 3. 1 - other international versions of ICD-10 N25. Secondary hyperparathyroidism (SHPT) is one of the most common metabolic complications resulting from chronic kidney disease (CKD). 22) • Hypertensive chronic kidney disease (I12. 81 Secondary hyperparathyroidism (of renal origin) Associated ICD-9-CM PT diagnoses/treatment diagnoses that may be directly related 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. ICD-10-CM Diagnosis Code E21. 3 Chronic Kidney Disease, Stage 3 (Moderate) N18. Anemia due to end stage renal disease; Anemia in end stage renal disease; Anemia, end stage renal disease; Benign htn heart and ckd, esrd, w chf; Benign hypertensive heart and end stage renal disease; Benign. 81 Secondary hyperparathyroidism of renal origin Q78. Secondary hyperparathyroidism of renal origin: Z99. Aims of. 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. It means "not coded here". INTRODUCTION. 0 Kidney transplant status T86. N25. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. 0, E16-E31, E34. 81. secondary of renal origin 588. 1. 1 for Secondary hyperparathyroidism, not elsewhere classified is a medical classification as listed by WHO under the range -Disorders. 9 Abnormal finding of blood chemistry, unspecified Z51. 2 Stage 3 59 - 30 N18. 3 result found: ICD-10-CM Diagnosis Code N25. ICD-10 Games Learn codes with classic games like Flashcards and Hangman. The following ICD-10-CM codes have been added to the Article: G93. We retrospectively enrolled 106 of 120 consecutive patients with secondary hyperparathyroidism who underwent parathyroidectomy between January 2019 and July 2021. 81 Secondary hyperparathyroidism of renal origin . KDIGO “Clinical Practice Guidelines for Bone Metabolism. 81. 39 to the ‘Group 1 Codes’ and the following ICD-10-CM code has been deleted and therefore. SECONDARY HYPERPARATHYROIDISM is increased PTH secretion. N25. 81 Secondary Hyperparathyroidism of renal origin N28. N25. 1. 11 [convert to ICD-9-CM] Convergence insufficiency. Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end. 3 Hyperparathyroidism, unspecified E21. 1 Diagnostic Codes. Kidney failure requiring dialysis (GFR less than 25) If you are not on dialysis, or had kidney failure for years, it is almost impossible to have secondary hyperparathyroidism due to kidney problems. Convergence insufficiency (eye condition) ICD-10-CM Diagnosis Code N25. N25. ICD-10 code N25. 2); hungry bone syndrome (E83. ICD-10-CM Diagnosis Code N25. Disorders of calcium metabolism. 5 Supervision of other high-risk pregnancies, unspecified trimester: O09. Perioperative. Secondary hyperparathyroidism of renal origin: N2589: Other disorders resulting from impaired renal tubular function: N259: Disorder resulting from impaired renal tubular function, unspecified:I129. N25. 9ICD 10 code for Other lower urinary tract calculus. To view the entire topic,. 6 equates to end stage renal disease (ESRD). secondary hyperparathyroidism of renal origin ; ICD-10-CM Diagnosis Code N25. Subscribe to Codify by AAPC and get the code details in a flash. N25. 2 Other hyperparathyroidismRenal hyperparathyroidism (rHPT) is a complex and challenging disorder. Type of diabetes is due to the inability of renal tubules to reabsorb water back into the body. Renal hyperparathyroidism (rHPT) is a complex and challenging disorder. 1 Secondary hyperparathyroidism, not elsewhere classified N25. Non-Billable On/After Oct 1/2015. 81 should only be used for claims with a date of service on or before September 30, 2015. 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. CKD Stage 3, PTH = 70. 9 Disorder resulting from. 08 Other hyperparathyroidism; 252. Secondary hyperparathyroidism, non-renal Short description: Sec hyprprthyrd nonrenal. The following code (s) above E21. 0: Malignant neoplasm of parathyroid gland: D35. 30, N18. 9 Urethral Disorder. 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. 1 result found: ICD-10-CM Diagnosis Code N25. Its pathophysiology is mainly due to hyperphosphatemia and vitamin D deficiency and resistance. Code History. 1 [convert to ICD-9-CM] Secondary hyperparathyroidism, not elsewhere classified. 0 Definitions Manual: Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC. Secondary hyperparathyroidism is defined as adaptive parathyroid gland hyperplasia and increased production of PTH. N25. 1 became effective on October 1, 2023. 81 should only be used for claims with a date of service on or before September 30, 2015. N25. 81. KDIGO “Clinical Practice Guidelines for Bone Metabolism and Disease in Chronic Kidney Disease” recommends testing for bone disease and disorders of calcium and phosphorus. 4 Chronic kidney disease, stage 4 (severe) N18. [convert to ICD-9-CM]N25. Excludes1: secondary hyperparathyroidism, non-renal (E21. 2. 81 - Secondary hyperparathyroidism of renal origin. Hyperparathyroidism, secondary (non renal); Secondary hyperparathyroidism of nonrenal origin; secondary. 1 for Secondary hyperparathyroidism, not elsewhere classified is a medical classification as listed by WHO under the range -Disorders. It develops early in the course of renal failure and is associated with increased risks of fractures, cardiovascular disease and death. Hyperparathyroidism and other disorders of parathyroid gland. Original approval date 03/21. 02 should only be used for claims with a date of service on or before September 30, 2015. Secondary hyperparathyroidism (sHPT) is an important complication of chronic kidney disease (CKD) and is characterized by elevated blood parathyroid hormone (PTH) levels. Secondary hyperparathyroidism of renal origin. Secondary hyperparathyroidism, non-renal. 81 ICD-9 Billable Secondary hyperparathyroidism (of renal origin)TY - ELEC T1 - N25. We hope you find it helpful, and thanks for stopping by! ICD-10-CM or ICD-10-PCS code value. secondary hyperparathyroidism (of renal origin) ICD-9-CM Volume 2 Index entries containing back-references to 252. This is the American ICD-10-CM version of B07. Under ICD-10-CM Codes that Support Medical Necessity Group 7: Codes the description for F03. 1 Secondary hyperparathyroidism, not elsewhere classifiedMedications for Secondary Hyperparathyroidism The parathyroids are four glands in the neck that produce parathyroid hormone to help control calcium metabolism. 83 Other fatigue Z94. 81 Secondary hyperparathyroidism (of renal origin) Associated ICD-9-CM PT diagnoses/treatment diagnoses that may be directly related. This means that in all cases where the ICD9 code 252. Patients with rHPT experience increased rates of cardiovascular problems and bone. 252. 89 - other international versions of ICD-10 N25. 81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 588. -); ectopic hyperparathyroidism (E34. 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). PDX Collection 0921 (continued) N172: Acute kidney failure with medullary necrosis: N178: Other acute kidney failure: N179:. 2 Chronic kidney disease, stage 2 (mild) N18. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. ICD-10-CM Diagnosis Code N25. ICD-10-CM/PCS MS-DRG v40. 1 is a valid ICD-10-CM diagnosis code meaning 'Secondary hyperparathyroidism, not elsewhere classified'. Defect in the activation of vitamin D in the kidneys due to chronic kidney disease (CKD) leads to hypocalcemia and hyperphosphatemia, resulting in a compensatory increase in parathyroid gland cellularity and parathyroid hormone production and causing. 02: Hyperparathyroidism 252. 1 may. Normal parathyroid glands as seen during a thyroidectomy. 0 Renal osteodystrophy N25. Hypoparathyroidism, unspecified. Recurrence of SHPT after PTX is a serious clinical problem. . 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. 252. This is the American ICD-10-CM version of N26 - other international versions of ICD-10 N26 may differ. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. Reviews, Revisions, and Approvals Reviewed Date Approval Date . . Renal hyperparathyroidism, educated on dietary phosphorus restriction ICD-10 Code: N18. 1-N18. 252. Figure 1 illustrates that the pathophysiology of secondary hyperparathyroidism is complex. 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. 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. The disease may be divided into 3 forms: a) primary, b) secondary, c) tertiary (secondary refractory form). CKD* GFR ICD-10-CM . 0 Definitions Manual. – Secondary hyperparathyroidism of renal origin – Protein calorie malnutriEon Severe = albumin less than 3. 81 Secondary hyperparathyroidism of renal origin + + 4D: Impaired joint mobility, motor function, muscle performance, and. J Am Soc Nephrol. The 2024 edition of ICD-10-CM N27. Secondary hyperparathyroidism is common in patients with chronic kidney disease, affecting most of those who are receiving hemodialysis. hyperparathyroidism of either renal or nonrenal origin (ICD-9-CM 588. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 – Polycystic kidney adult type Q61. Most patients on dialysis with secondary hyperparathyroidism have multiple enlarged parathyroid glands, for which the surgical options are subtotal or total parathyroidectomy. It includes some. To review approved treatment options for secondary hyperparathyroidism (SHPT) in patients with stages 3 and 4 chronic kidney disease (CKD). com : 252. 9 became effective on October 1, 2023. 0 may differ. 0) OTHER RENAL Q61. 81) ICD-10-CM Diagnosis Code E21. 10 28 Cirrhosis of Liver 0. The code N25. Previous studies have identified several risk. 1 Nephrogenic diabetes insipidus. Multivariable logistic regression wasICD-10 code: N25. The 2024 edition of ICD-10-CM E21 became effective on October 1, 2023. 91 [convert to ICD-9-CM]. 81); infantile and juvenile osteomalacia (E55. 0 Congenital tuberculosis . Physiology of PTH Action and Calcium Regulation. Secondary hyperparathyroidism of renal origin. e characterized by quasi-autonomous production of Parathyroid Hormone from the parathyroid glands: a disorder that is termed Tertiary Hyperparathyroidism. CKD 3, 4, 5 or ESRD, are at risk for secondary hyperparathyroidism and should be screened with an intact parathyroid hormone (PTH). Data to inform counseling on parathyroidectomy for secondary hyperparathyroidism of renal origin Rebecca L. 32, G93. 81 Secondary hyperparathyroidism of renal origin. Pertinent ICD-9-CM codes are listed next to the equivalent ICD-10-CM code in parentheses below. Assays of the appropriate vitamin D levels for ICD-10 codes E55. Convergence insufficiency. It is treated medically, but when medical therapy cannot control the hyperparathyroidism, surgical parathyroidectomy is an. PMC4991918. 3 CKD Stage 3 ICD-10 Code: N25. 81 Secondary hyperparathyroidism of renal origin N28. N25. Advertise with Us | License ICD10 Data. 9 Chronic kidney disease, unspecified N25. Secondary hyperparathyroidism of renal origin: N2589: Other disorders resulting from impaired renal tubular function: N259: Disorder resulting from impaired renal tubular function, unspecified:Secondary hyperparathyroidism (of renal origin) Short description: SEC HYPERPARATHYRD-RENAL. 1 Cyst of kidney acquired R305. Methods: This retrospective, matched cohort study examined insurance claims. Secondary hyperparathyroidism of renal origin N28. e. 8, E07. 0); familial hypocalciuric hypercalcemia (E83. 81 Chronic Gout due to renal impairment, unsp site, w/o tophus M1A. ICD-9-CM Vol. 2 Cramp and spasm R53. 00. Unari r yfrequency N13. 81 Secondary hyperparathyroidism of renal origin. However, the term is more generally used. Hyperparathyroidism of renal origin. Secondary hyperthyroidism and metabolic syndrome. 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; Hyperparathyroidism, secondary. N25. ICD-10. HCC Plus. The above description is abbreviated. Synonyms: brown tumor of hyperparathyroidism, calcifying panniculitis due to. 1 [convert to ICD-9-CM] Secondary hyperparathyroidism, not elsewhere classified. 81. Showing 1-25: ICD-10-CM Diagnosis Code E21. Controlling serum levels of PTH, phosphorus, calcium, and 25-hydroxy vitamin-D improves morbidity and mortality in patients with CKD [ 54 ]. 0 -€E55. ; N25. ICD-10-CM Diagnosis Code N18. Renal agenesis. -); ectopic hyperparathyroidism (E34. 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. The ICD-10-CM code E11. . 81. 1 is a billable ICD-10 code used to specify a medical diagnosis of secondary hyperparathyroidism, not elsewhere classified. 81 588. ICD-10-CM Documentation and Coding Best Practices Hyperparathyroidism Overview Greater than normal secretion of parathyroid hormone (PTH). This is the American ICD-10-CM version of E20. This occurs from a disorder either within the parathyroid glands (primary hyperparathyroidism) or as response to external stimuli (secondary hyperparathyroidism). M83. At present, the mechanism of cell. D arrhi ea R509. 1 Secondary hyperparathyroidism, not elsewhere classified; specified NEC - E21. The risk of postoperative hungry bone syndrome after parathyroidectomy for secondary hyperparathyroidism of renal origin may alter the course of treatment, including the hospital length of stay and readmission rates. The kidneys cannot make active vitamin D (needed to absorb calcium) The resulting secondary hyperparathyroidism eventually leads to bone disorders. Showing 1-25: ICD-10-CM Diagnosis Code N18. ICD-10 Code Description N18. 08 :The validity of the ICD-10 diagnosis of hypoparathyroidism in the Swedish National Patient Register is high. ICD List 2023-2024 Edition. 9, adult. 02 and ICD-10-CM E21. Excessive production of this hormone caused by increased activity of these glands is known as hyperparathyroidism. Plan: Will repeat labs in 1 year, CKD stable . The loss of calcium from bones often results in weak, brittle bones that break easily (osteoporosis). 81 Secondary hyperparathyroidism of renal origin R53. 02 should only be used for claims with a date of service on or before September 30, 2015. 69N25. 1. or renal urolithiasis from ICD codes. 81 for Secondary hyperparathyroidism of renal origin. 252. 8 [other disorders resulting from impaired renal tubular function, including secondary hyperparathyroidism of renal origin] in the inpatient or outpatient setting, or a prescription of paricalcitol, alfacalcidol or calcitriol in. 121 [convert to ICD-9-CM] Diffuse secondary atrophy of choroid, right eye. 1 became effective on October 1, 2023. , secondary hyperparathyroidism due to esrd, on dialysis; End stage renal disease on dialysis due. 0)—Primary hyperparathyroidism. ICD-10-CM Diagnosis Code H31. Subscribe to Codify by AAPC and get the code details in. Hyperparathyroidism and other disorders of parathyroid gland. Secondary hyperparathyroidism (sHPT) is an important complication of chronic kidney disease (CKD) and is characterized by elevated blood parathyroid hormone (PTH) levels. 0 Kidney transplant status. 0 Definitions Manual: Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC:. 1 is a valid billable ICD-10 diagnosis code for Secondary hyperparathyroidism, not elsewhere classified . 0 Calculus Of Kidney N25. A messenger substance is formed in the parathyroid glands. The 2024 edition of ICD-10-CM N26. 0 Definitions Manual > Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC:. 00. Most cases of secondary hyperparathyroidism are due to vitamin D deficiency and chronic kidney failure that results in low active vitamin D and calcium levels. ICD-10-CM Diagnosis Code Z83. 81) ICD-10-CM Diagnosis Code E21. 0 Hydronephrosis with ureteropelvic junction obstruction N13. 3 may differ. ICD-10-CM or ICD-10-PCS code value. 0, E55. 89 Other. The 2024 edition of ICD-10-CM E21. 02 Excludes . 275. . 81, or ICD-9-CM 252. 6 [convert to ICD-9-CM] End stage renal disease. 588. HCC. 9 - other international versions of ICD-10 N26. -); ectopic hyperparathyroidism (E34. sHPT develops in CKD as a consequence of abnormalities in several biochemical parameters, including increases in serum. 89 may differ. Per ICD-10 official guidelines for reporting and coding, “The importance of consistent, complete documentation in the medical record cannot be overemphasized. 2 Nausea with vomiting 0R. Source: 2024 ICD-10-CM CMS General Equivalence Mappings. 02 should only be used for claims with a date of service on or before September 30, 2015. Renal hyperparathyroidism, educated on dietary phosphorus restriction ICD-10 Code: N18. Small kidney, unspecified. N25 Disorders resulting from impaired renal tubul. Search Page 1/1: E21. Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. The 2024 edition of ICD-10-CM N25 became effective on October 1, 2023. 81 Secondary hyperparathyroidism of renal origin R25. Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage. 81) who underwent parathyroidectomy with or without auto-transplantation were included. % of Total ICD N2581 - Secondary hyperparathyroidism of renal origin in DRG: 2. 9 - other international versions of ICD-10 E20. 1 became effective on October 1, 2023. ICD-9-CM 588. 2 Nausea with vomiting 0R. 52); Tertiary hyperparathyroidism ICD-10-CM Diagnosis Code E21. 588. 8 [other disorders resulting from impaired renal tubular function, including secondary hyperparathyroidism of renal origin] in the inpatient or outpatient setting, or a prescription of paricalcitol, alfacalcidol or calcitriol in. N25. Kidney transplant patients were identified by inpatient and outpatient ICD-9-CM diagnosis code V420, 99681, or ICD-10 CM diagnosis code T86X, Z4822 and Z940, and inpatient procedure and surgery codes (55. 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;. 81 Secondary hyperparathyroidism of renal origin. The 2024 edition of ICD-10-CM N22 became effective on October 1, 2023. Learn what this code entails, from its clinical information, if it’s billable. Diarher a R590. Other disorders resulting from impaired renal tubular function. Plan: Will repeat labs in 1 year, CKD stable . This chapter reviews the action of PTH and calcium regulation as well as the pathogenesis, etiology, and treatment of secondary hyperparathyroidism of renal origin. ICD-10-CM Code N25. 81 for Secondary hyperparathyroidism of renal origin is a medical classification as listed by WHO under the range - Diseases of the genitourinary system . 1) Separate Conditions Not Covered By N25. 2. The most important cause of secondary hyperparathyroidism is chronic renal insufficiency. ICD-10-CM Diagnosis Code O14. 81 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Specifically for this code: secondary hyperparathyroidism of renal origin (N25. non-renal - E21. ICD-9-CM 252. 81 [convert to ICD-9-CM] Secondary hyperparathyroidism of renal origin. Chronic kidney disease due to type 2 diabetes mellitus with hyperparathyroidism due to end stage renal disease on dialysis; Dm 2 w diabetic ckd,. 1 - other international versions of ICD-10 N27. Excludes1: secondary hyperparathyroidism of renal origin (N25. Adverse effect of angiotensin-converting-enzyme inhibitors, initial encounter. Secondary Hyperparathyroidism: Those with a GFR<60, i.