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ICD-10 Code D55.0 | Anemia due to glucose-6-phosphate dehydrogenase deficiency Symptoms, Diagnosis, Billing

Anemia due to glucose-6-phosphate dehydrogenase deficiency is a hereditary condition characterized by a deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD), leading to hemolytic anemia. This condition is clinically significant as it can result in severe anemia, particularly following oxidative stress from infections, certain medications, or foods. The ICD-10 Code D55.0 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code D55.0 for Anemia due to glucose-6-phosphate dehydrogenase deficiency?

ICD-10 Code D55.0 represents Anemia due to glucose-6-phosphate dehydrogenase deficiency, a genetic disorder that affects red blood cell survival. This code should be used when documenting cases of hemolytic anemia resulting from G6PD deficiency, particularly in patients presenting with symptoms after exposure to triggers such as infections or specific medications. Accurate coding is essential for proper clinical documentation and billing.

ICD-10 Code D55.0 – Clinical Definition and Explanation of Anemia due to glucose-6-phosphate dehydrogenase deficiency

Anemia due to glucose-6-phosphate dehydrogenase deficiency is caused by a genetic mutation leading to reduced enzyme activity, which is crucial for protecting red blood cells from oxidative damage. The condition can progress to hemolytic anemia, necessitating medical attention to prevent complications. Early diagnosis and management are vital for patient outcomes.

Key Clinical Features:

  • Hemolytic anemia characterized by fatigue, pallor, and jaundice.
  • History of episodes triggered by infections, certain medications, or fava beans.
  • Laboratory findings may include elevated bilirubin and reticulocyte counts.
  • More prevalent in individuals of African, Mediterranean, and Asian descent.

ICD-10 Code D55.0 for Anemia due to glucose-6-phosphate dehydrogenase deficiency – SOAP Notes & Clinical Use

ICD-10 Code D55.0 is utilized in SOAP notes to document the clinical presentation, assessment, and management of patients with anemia due to glucose-6-phosphate dehydrogenase deficiency. This code aids in tracking symptoms, evaluating treatment efficacy, and ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code D55.0 for Anemia due to glucose-6-phosphate dehydrogenase deficiency Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D55.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of anemia due to glucose-6-phosphate dehydrogenase deficiency. This coding ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D55.0 – Anemia due to glucose-6-phosphate dehydrogenase deficiency

Management of anemia due to glucose-6-phosphate dehydrogenase deficiency may require hospitalization in severe cases, particularly during hemolytic crises. Treatment focuses on avoiding triggers and supportive care.

Antibiotic Therapy:

  • Not applicable as this condition is not infectious; however, treat infections promptly if present.

Supportive Care:

  • Hydration and blood transfusions in severe anemia.
  • Avoidance of known triggers such as certain medications and foods.
  • Monitoring of hemoglobin levels and reticulocyte counts.

Infection Control:

  • Implement standard precautions to prevent infections.
  • Educate patients on recognizing signs of infection early.

How to Document Symptoms of Anemia due to glucose-6-phosphate dehydrogenase deficiency (ICD-10 D55.0) in SOAP Notes

Subjective:

  • Patient reports fatigue and pallor.
  • History of jaundice during previous hemolytic episodes.
  • Recent exposure to fava beans or certain medications.
  • Family history of G6PD deficiency.

Objective:

  • Pallor noted on physical examination.
  • Laboratory results show low hemoglobin and elevated bilirubin.
  • Reticulocyte count is elevated.
  • Peripheral blood smear shows evidence of hemolysis.
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SOAP Note Guidelines for Diagnosing Anemia due to glucose-6-phosphate dehydrogenase deficiency (ICD-10 Code D55.0)

Assessment:

  • Diagnosis: Anemia due to glucose-6-phosphate dehydrogenase deficiency, moderate severity.
  • ICD-10 Code: D55.0.
  • Triggers: Recent infection and dietary exposure to fava beans.
  • Consideration of family history in management.

Plan:

  • Administer blood transfusion if hemoglobin is critically low.
  • Educate patient on avoiding known triggers.
  • Schedule follow-up for monitoring hemoglobin and reticulocyte levels.
  • Consider genetic counseling for family members.

Treatment & Plan Section for ICD-10 Code D55.0 – Anemia due to glucose-6-phosphate dehydrogenase deficiency

  • First-line treatment includes blood transfusions for severe anemia.
  • Educate patients on avoiding oxidative stress triggers.
  • Regular monitoring of hemoglobin and reticulocyte counts.
  • Consideration of genetic counseling for affected families.

Using ICD-10 Code D55.0 for Anemia due to glucose-6-phosphate dehydrogenase deficiency in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and triggers in Subjective (S) and Objective (O) sections.
  • Use D55.0 for billing related to hemolytic anemia management.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Include relevant CPT codes for laboratory tests and transfusions.

ICD-10 Code D55.0 in Medical Billing and Insurance for Anemia due to glucose-6-phosphate dehydrogenase deficiency

ICD-10 Code D55.0 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

  • Document all relevant clinical findings to support the use of D55.0.
  • Use this code in conjunction with specific laboratory tests and treatments.
  • Ensure that the patient's history of triggers is clearly noted.
  • Maintain compliance with coding guidelines to avoid claim denials.

Common CPT Pairings:

CPT CodeDescription
36430Blood transfusion, per unit.
85025Complete blood count (CBC) with automated differential.
85027Complete blood count (CBC), automated.
88305Pathology examination of blood smear.

Frequently Asked Questions

Common Questions About Using ICD-10 Code D55.0 for Anemia due to glucose-6-phosphate dehydrogenase deficiency

What are the common triggers for hemolytic episodes in G6PD deficiency?

Common triggers include infections, certain medications (like sulfa drugs), and consumption of fava beans. Patients should be educated on avoiding these triggers to prevent hemolytic crises.

How is anemia due to G6PD deficiency diagnosed?

Diagnosis typically involves a complete blood count (CBC) showing anemia, elevated bilirubin levels, and specific tests for G6PD enzyme activity. A family history may also support the diagnosis.

Is G6PD deficiency a hereditary condition?

Yes, G6PD deficiency is an X-linked recessive genetic disorder, primarily affecting males. It is important for family members to be screened if one member is diagnosed.

What is the treatment for anemia due to G6PD deficiency?

Treatment focuses on avoiding triggers and managing symptoms. In severe cases, blood transfusions may be necessary. Education on lifestyle modifications is also crucial.

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