ICD-10 Code D52.0 | Dietary folate deficiency anemia Symptoms, Diagnosis, Billing

Dietary folate deficiency anemia is a type of macrocytic anemia caused by insufficient intake of folate, an essential B vitamin. This condition is clinically significant as it can lead to serious health complications, including neurological issues and increased risk of cardiovascular diseases. Accurate coding with ICD-10 Code D52.0 ensures proper diagnosis, documentation, and billing, facilitating effective public health reporting and resource allocation.

What is ICD-10 Code D52.0 for Dietary folate deficiency anemia?

ICD-10 Code D52.0 represents dietary folate deficiency anemia, characterized by a decrease in red blood cell production due to inadequate folate levels. This code should be used when documenting cases of anemia resulting from insufficient dietary intake of folate, particularly in patients with risk factors such as poor nutrition or malabsorption syndromes.

ICD-10 Code D52.0 – Clinical Definition and Explanation of Dietary folate deficiency anemia

Dietary folate deficiency anemia occurs when there is a lack of folate in the diet, leading to impaired DNA synthesis and abnormal red blood cell formation. This condition can progress to severe anemia if not addressed, necessitating medical intervention to prevent complications.

Key Clinical Features:

• Fatigue and weakness due to reduced oxygen-carrying capacity of the blood.
• Pallor and shortness of breath on exertion.
• Glossitis and changes in the tongue's appearance.
• Neurological symptoms such as irritability or cognitive changes in severe cases.

ICD-10 Code D52.0 for Dietary folate deficiency anemia – SOAP Notes & Clinical Use

ICD-10 Code D52.0 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to dietary folate deficiency anemia. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code D52.0 for Dietary folate deficiency anemia Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D52.0 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of dietary folate deficiency anemia. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D52.0 – Dietary folate deficiency anemia

Dietary folate deficiency anemia requires prompt treatment to restore folate levels and prevent complications. Hospitalization may be necessary in severe cases.

Antibiotic Therapy:

Supportive Care:

• Oral folic acid supplementation, typically 1 mg daily.
• Dietary modifications to include folate-rich foods such as leafy greens, legumes, and fortified cereals.
• Monitoring of hemoglobin levels and reticulocyte counts to assess response to treatment.

Infection Control:

How to Document Symptoms of Dietary folate deficiency anemia (ICD-10 D52.0) in SOAP Notes

Subjective:

• Patient reports persistent fatigue and weakness.
• Complaints of pallor and shortness of breath during physical activity.
• History of poor dietary intake and possible malabsorption.
• Patient mentions changes in tongue appearance, including soreness.

Objective:

• Vital signs: BP 110/70 mmHg, HR 88 bpm, RR 16 breaths/min.
• Pallor noted on physical examination.
• Complete blood count shows low hemoglobin and elevated mean corpuscular volume (MCV).
• Glossitis observed during oral examination.

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SOAP Note Guidelines for Diagnosing Dietary folate deficiency anemia (ICD-10 Code D52.0)

Assessment:

• Diagnosis: Dietary folate deficiency anemia, moderate severity.
• ICD-10 Code: D52.0.
• Contributing factors: Poor dietary intake and possible malabsorption.
• Monitor for potential complications such as neurological deficits.

Plan:

• Initiate oral folic acid supplementation at 1 mg daily.
• Educate patient on dietary sources of folate and the importance of adherence to supplementation.
• Schedule follow-up in 4 weeks to reassess hemoglobin levels.
• Consider referral to a dietitian for nutritional counseling.

Treatment & Plan Section for ICD-10 Code D52.0 – Dietary folate deficiency anemia

• First-line treatment includes oral folic acid supplementation.
• Encourage dietary changes to increase folate intake through food sources.
• Regular monitoring of hemoglobin and hematocrit levels to evaluate treatment efficacy.
• Patient education on recognizing symptoms of anemia and the importance of follow-up.

Using ICD-10 Code D52.0 for Dietary folate deficiency anemia in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use ICD-10 Code D52.0 to justify the medical necessity of folic acid supplementation.
• Align treatment plans with clinical guidelines to support appropriate billing.
• Include relevant CPT codes for laboratory tests and follow-up visits.

Related ICD-10 Codes Often Used with Dietary folate deficiency anemia

• D50.0 – Iron deficiency anemia, unspecified
• D53.0 – Other nutritional anemia

ICD-10 Code D52.0 in Medical Billing and Insurance for Dietary folate deficiency anemia

ICD-10 Code D52.0 is crucial for billing purposes in hospital, ER, or outpatient settings, ensuring accurate claims processing.

Billing Notes:

• Document all relevant clinical findings and patient history to support the diagnosis.
• Use this code in conjunction with appropriate CPT codes for laboratory tests and consultations.
• Ensure that the medical necessity for treatment is clearly outlined in the documentation.
• Review payer-specific guidelines for any additional requirements related to this diagnosis.

Common CPT Pairings: