ICD-10 Code D51.2 | Transcobalamin II deficiency Symptoms, Diagnosis, Billing

Transcobalamin II deficiency is a rare inherited disorder characterized by impaired transport of vitamin B12 due to a deficiency of transcobalamin II, a protein essential for cellular uptake of vitamin B12. This condition can lead to megaloblastic anemia and neurological complications. Accurate coding with ICD-10 Code D51.2 is crucial for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that affected individuals receive appropriate care and resources.

What is ICD-10 Code D51.2 for Transcobalamin II deficiency?

ICD-10 Code D51.2 represents Transcobalamin II deficiency, a genetic disorder that results in the inability to transport vitamin B12 effectively. This deficiency can lead to significant hematological and neurological issues. The code should be used in clinical documentation and billing when diagnosing patients with this condition, ensuring that healthcare providers can accurately capture the complexity of the disease and its management.

ICD-10 Code D51.2 – Clinical Definition and Explanation of Transcobalamin II deficiency

Transcobalamin II deficiency is caused by mutations in the TCN2 gene, leading to a lack of transcobalamin II protein. This deficiency impairs the transport of vitamin B12, resulting in megaloblastic anemia and potential neurological deficits. Prompt medical attention is necessary to manage symptoms and prevent complications.

Key Clinical Features:

• Megaloblastic anemia with macrocytic red blood cells
• Neurological symptoms such as peripheral neuropathy
• Failure to thrive in infants and children
• Elevated serum methylmalonic acid and homocysteine levels

ICD-10 Code D51.2 for Transcobalamin II deficiency – SOAP Notes & Clinical Use

ICD-10 Code D51.2 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Transcobalamin II deficiency. This code aids in capturing the patient's symptoms, guiding clinical decision-making, and ensuring appropriate billing in both acute and chronic care settings.

What Does ICD-10 Code D51.2 for Transcobalamin II deficiency Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D51.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Transcobalamin II deficiency. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D51.2 – Transcobalamin II deficiency

Transcobalamin II deficiency requires urgent medical intervention to manage vitamin B12 deficiency and its complications. Treatment typically involves vitamin B12 supplementation and supportive care.

Antibiotic Therapy:

Supportive Care:

• Vitamin B12 injections or high-dose oral supplementation
• Monitoring of hematological parameters
• Nutritional counseling to ensure adequate vitamin B12 intake

Infection Control:

How to Document Symptoms of Transcobalamin II deficiency (ICD-10 D51.2) in SOAP Notes

Subjective:

• Patient reports fatigue and weakness.
• History of developmental delays in childhood.
• Complaints of numbness and tingling in extremities.
• Family history of vitamin B12 deficiency disorders.

Objective:

• Pallor noted on physical examination.
• CBC shows macrocytic anemia with elevated MCV.
• Neurological exam reveals decreased sensation in feet.
• Serum vitamin B12 levels are low.

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SOAP Note Guidelines for Diagnosing Transcobalamin II deficiency (ICD-10 Code D51.2)

Assessment:

• Diagnosis: Transcobalamin II deficiency (ICD-10 D51.2), moderate severity.
• Relevant subcode: None applicable.
• Contributing factors: Genetic predisposition and dietary insufficiency.

Plan:

• Initiate vitamin B12 supplementation via intramuscular injection.
• Educate patient on dietary sources of vitamin B12.
• Schedule follow-up CBC in 4 weeks to monitor response.
• Refer to a genetic counselor for family planning.

Treatment & Plan Section for ICD-10 Code D51.2 – Transcobalamin II deficiency

• Administer vitamin B12 injections initially, followed by oral supplementation.
• Provide education on the importance of vitamin B12 in diet.
• Monitor hematological response and adjust treatment as necessary.
• Schedule regular follow-ups to assess neurological status.

Using ICD-10 Code D51.2 for Transcobalamin II deficiency in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D51.2 for all encounters related to Transcobalamin II deficiency.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant patient history and family history in documentation.

Related ICD-10 Codes Often Used with Transcobalamin II deficiency

• D51.0 – Vitamin B12 deficiency anemia due to intrinsic factor deficiency
• D51.1 – Vitamin B12 deficiency anemia due to malabsorption

ICD-10 Code D51.2 in Medical Billing and Insurance for Transcobalamin II deficiency

ICD-10 Code D51.2 is critical for billing purposes in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and patient history to support the claim.
• Use D51.2 in conjunction with other codes for comprehensive billing.
• Ensure that treatment plans are clearly outlined in the medical record.

Common CPT Pairings: