E20.811 Secondary hypoparathyroidism in diseases classified elsewhere

Billable ICD-10-CM code, FY2026.

Code first

• underlying condition, if known

Applies from E20 Hypoparathyroidism

Excludes1 (never code together)

• Di George's syndrome (D82.1)
• postprocedural hypoparathyroidism (E89.2)
• tetany NOS (R29.0)
• transitory neonatal hypoparathyroidism (P71.4)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 23 — Other Significant Endocrine and Metabolic Disorders
• RxHCC V08: HCC 43 — Pituitary, Adrenal Gland, and Other Endocrine and Metabolic Disorders
• ESRD V24: HCC 23

MS-DRG index

Defines the logic of DRG(s) 643-645 in MDC 10.

Medicare Code Edits (MCE v43.1 (April 2026))

• Manifestation codes as principal diagnosis: Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and are not allowed as principal diagnosis.

Code annotations containing back-references to E20.811

Back-references to E20.811

• Type 1 Excludes: E83.5 Disorders of calcium metabolism ("secondary hypoparathyroidism in diseases classified elsewhere (E20.811)")

Back-references to E20

• Type 1 Excludes: E83 Disorders of mineral metabolism ("parathyroid disorders (E20-E21)")
• Code First: G63 Polyneuropathy in diseases classified elsewhere ("endocrine disease, except diabetes (E00-E07, E15-E16, E20-E34)")
• Code First: G73.7 Myopathy in diseases classified elsewhere ("hypoparathyroidism (E20.-)")
• Code First: H28 Cataract in diseases classified elsewhere ("hypoparathyroidism (E20.-)")

Diagnosis Index entries for E20.811

• Hypoparathyroidism › secondary, in diseases classified elsewhere

Nearby codes

• E20.0 Idiopathic hypoparathyroidism
• E20.1 Pseudohypoparathyroidism
• E20.8 Other hypoparathyroidism
• E20.81 Hypoparathyroidism due to impaired parathyroid hormone secretion
• E20.810 Autosomal dominant hypocalcemia
• E20.811 Secondary hypoparathyroidism in diseases classified elsewhere (this code)
• E20.812 Autoimmune hypoparathyroidism
• E20.818 Other specified hypoparathyroidism due to impaired parathyroid hormone secretion
• E20.819 Hypoparathyroidism due to impaired parathyroid hormone secretion, unspecified
• E20.89 Other specified hypoparathyroidism
• E20.9 Hypoparathyroidism, unspecified