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ICD-10 Code D56.2 | Delta-beta thalassemia Symptoms, Diagnosis, Billing

Delta-beta thalassemia is a genetic blood disorder characterized by reduced production of both delta and beta globin chains, leading to ineffective erythropoiesis and hemolytic anemia. This condition is clinically significant as it can result in severe anemia, requiring regular blood transfusions and monitoring. The ICD-10 Code D56.2 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring proper management and treatment of affected patients.

What is ICD-10 Code D56.2 for Delta-beta thalassemia?

ICD-10 Code D56.2 specifically denotes Delta-beta thalassemia, a form of thalassemia resulting from mutations affecting the synthesis of both delta and beta globin chains. This code should be used in clinical documentation and billing when diagnosing patients with this condition, particularly when they present with symptoms of anemia or related complications.

ICD-10 Code D56.2 – Clinical Definition and Explanation of Delta-beta thalassemia

Delta-beta thalassemia is caused by mutations in the HBB gene, leading to a deficiency in both delta and beta globin chain production. This condition can progress to severe anemia and requires medical attention to manage symptoms and prevent complications.

Key Clinical Features:

  • Severe microcytic anemia with low hemoglobin levels.
  • Splenomegaly due to extramedullary hematopoiesis.
  • Increased risk of iron overload from frequent blood transfusions.
  • Potential for growth retardation and delayed puberty in children.

ICD-10 Code D56.2 for Delta-beta thalassemia – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D56.2 is utilized to document the diagnosis of Delta-beta thalassemia, capturing the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code D56.2 for Delta-beta thalassemia Mean in SOAP Notes?

ICD-10 Code D56.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Delta-beta thalassemia. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D56.2 – Delta-beta thalassemia

Delta-beta thalassemia often necessitates hospitalization for management of severe anemia and related complications. Treatment approaches focus on symptom management and preventing complications.

Antibiotic Therapy:

  • Not applicable as Delta-beta thalassemia is not an infectious condition.

Supportive Care:

  • Regular blood transfusions to manage anemia.
  • Iron chelation therapy to prevent iron overload.
  • Folic acid supplementation to support erythropoiesis.

Infection Control:

  • Monitor for infections due to splenomegaly.
  • Vaccination against encapsulated organisms.

How to Document Symptoms of Delta-beta thalassemia (ICD-10 D56.2) in SOAP Notes

Subjective:

  • Patient reports fatigue and weakness.
  • History of frequent blood transfusions.
  • Complaints of pallor and shortness of breath on exertion.
  • Family history of thalassemia.

Objective:

  • Hemoglobin level significantly below normal range.
  • Microcytic red blood cells observed on CBC.
  • Splenomegaly noted on physical examination.
  • Iron studies indicating iron overload.
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SOAP Note Guidelines for Diagnosing Delta-beta thalassemia (ICD-10 Code D56.2)

Assessment:

  • Diagnosis: Delta-beta thalassemia, severe anemia.
  • ICD-10 Code: D56.2.
  • Contributing factors: Genetic mutations affecting globin chain production.
  • Triggers: Increased hemolysis and ineffective erythropoiesis.

Plan:

  • Initiate regular blood transfusions.
  • Start iron chelation therapy to manage iron overload.
  • Educate patient on dietary management and the importance of follow-up.
  • Schedule regular monitoring of hemoglobin levels and iron studies.

Treatment & Plan Section for ICD-10 Code D56.2 – Delta-beta thalassemia

  • First-line treatment includes regular blood transfusions to manage anemia.
  • Iron chelation therapy is essential to prevent complications from iron overload.
  • Patient education on dietary modifications and symptom management.
  • Regular follow-up appointments to monitor hemoglobin levels and overall health.

Using ICD-10 Code D56.2 for Delta-beta thalassemia in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
  • Use D56.2 in billing to reflect the diagnosis of Delta-beta thalassemia.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Document any complications or comorbidities that may affect treatment and billing.

ICD-10 Code D56.2 in Medical Billing and Insurance for Delta-beta thalassemia

ICD-10 Code D56.2 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 and treatment plans to support the ICD-10 claim.
  • Use D56.2 in settings where patients present with anemia or related complications.
  • Ensure that all chart elements align with the diagnosis for compliance.
  • Maintain clear records of blood transfusions and treatments provided.

Common CPT Pairings:

CPT CodeDescription
36430Transfusion, blood or blood components.
85027Complete blood count (CBC) with automated differential.
96365Intravenous infusion, for therapy, prophylaxis, or diagnosis.

Frequently Asked Questions

Common Questions About Using ICD-10 Code D56.2 for Delta-beta thalassemia

What are the common symptoms of Delta-beta thalassemia?

Common symptoms include severe fatigue, weakness, pallor, and shortness of breath due to anemia. Patients may also experience splenomegaly and growth delays in children.

How is Delta-beta thalassemia treated?

Treatment typically involves regular blood transfusions to manage anemia, iron chelation therapy to prevent iron overload, and supportive care to address symptoms.

Is Delta-beta thalassemia hereditary?

Yes, Delta-beta thalassemia is a genetic disorder inherited in an autosomal recessive pattern, meaning both parents must carry the gene for a child to be affected.

When should ICD-10 Code D56.2 be used?

ICD-10 Code D56.2 should be used when diagnosing patients with Delta-beta thalassemia, particularly when they present with symptoms of anemia or related complications.

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