ICD-10 Code D52.9 | Folate deficiency anemia, unspecified Symptoms, Diagnosis, Billing

Folate deficiency anemia, unspecified is a hematological condition characterized by a decrease in red blood cell production due to insufficient folate levels. This deficiency can arise from inadequate dietary intake, malabsorption syndromes, or increased physiological demands. Accurate coding with ICD-10 Code D52.9 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code D52.9 for Folate deficiency anemia, unspecified?

ICD-10 Code D52.9 represents Folate deficiency anemia, unspecified, a condition resulting from inadequate folate levels leading to impaired red blood cell production. This code should be used when the specific cause of folate deficiency is not documented, allowing for appropriate clinical documentation and billing in cases where the underlying etiology is unclear.

ICD-10 Code D52.9 – Clinical Definition and Explanation of Folate deficiency anemia, unspecified

Folate deficiency anemia, unspecified, occurs when there is a lack of folate, a B-vitamin essential for DNA synthesis and red blood cell formation. This condition can lead to megaloblastic anemia, characterized by the production of abnormally large red blood cells. Prompt medical attention is necessary to prevent complications such as cardiovascular issues and neurological deficits.

Key Clinical Features:

• Fatigue and weakness
• Pallor
• Shortness of breath on exertion
• Glossitis and mouth ulcers

ICD-10 Code D52.9 for Folate deficiency anemia, unspecified – SOAP Notes & Clinical Use

ICD-10 Code D52.9 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to folate deficiency anemia. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and guiding clinical decision-making.

What Does ICD-10 Code D52.9 for Folate deficiency anemia, unspecified Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D52.9 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of folate deficiency anemia. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D52.9 – Folate deficiency anemia, unspecified

Folate deficiency anemia requires prompt treatment to restore folate levels and prevent complications. Hospitalization may be necessary in severe cases to manage symptoms and monitor treatment response.

Antibiotic Therapy:

Supportive Care:

• Oral folate supplementation (1-5 mg daily)
• Dietary modifications to include folate-rich foods (leafy greens, legumes)
• Monitoring of hemoglobin and hematocrit levels

Infection Control:

How to Document Symptoms of Folate deficiency anemia, unspecified (ICD-10 D52.9) in SOAP Notes

Subjective:

• Patient reports fatigue and weakness
• Complaints of shortness of breath during physical activity
• History of poor dietary intake of folate-rich foods
• Patient mentions recurrent mouth ulcers

Objective:

• Pallor noted on physical examination
• Hemoglobin level: low
• Mean corpuscular volume (MCV): elevated
• Folate serum level: low

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SOAP Note Guidelines for Diagnosing Folate deficiency anemia, unspecified (ICD-10 Code D52.9)

Assessment:

• Diagnosis: Folate deficiency anemia, unspecified, moderate severity
• ICD-10 Code: D52.9
• Contributing factors: Poor dietary intake, possible malabsorption
• Monitor for potential complications such as neurological symptoms

Plan:

• Initiate oral folate supplementation (1 mg daily)
• Educate patient on dietary sources of folate
• 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 D52.9 – Folate deficiency anemia, unspecified

• First-line treatment includes oral folate supplementation
• Encourage dietary changes to increase folate intake
• Monitor hemoglobin and hematocrit levels regularly
• Educate the patient on recognizing symptoms of anemia

Using ICD-10 Code D52.9 for Folate deficiency anemia, unspecified in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes
• Use D52.9 when the specific cause of folate deficiency is not identified
• Align treatment plans with clinical guidelines to support justified billing
• Include relevant CPT codes for laboratory tests and follow-up visits

Related ICD-10 Codes Often Used with Folate deficiency anemia, unspecified

• D52.0 – Folate deficiency anemia due to inadequate dietary intake
• D52.1 – Folate deficiency anemia due to malabsorption
• D52.8 – Other folate deficiency anemias

ICD-10 Code D52.9 in Medical Billing and Insurance for Folate deficiency anemia, unspecified

ICD-10 Code D52.9 is critical in medical billing, particularly in hospital and emergency care settings, to ensure accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant symptoms and clinical findings to support the diagnosis
• Use D52.9 in cases where the specific cause of folate deficiency is not documented
• Ensure that all chart elements align with coding guidelines for accurate claims submission

Common CPT Pairings: