Sickle-cell/Hb-C disease with acute chest syndrome is a serious complication of sickle cell disease characterized by the presence of sickle-shaped red blood cells and Hb-C variant, leading to vaso-occlusive crises and respiratory distress. This condition is clinically significant as it can result in severe morbidity and requires prompt medical intervention. The ICD-10 Code D57.211 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate care and resource allocation.
What is ICD-10 Code D57.211 for Sickle-cell/Hb-C disease with acute chest syndrome?
ICD-10 Code D57.211 represents Sickle-cell/Hb-C disease with acute chest syndrome, a condition where patients experience acute respiratory symptoms due to sickle cell-related complications. This code should be used in clinical documentation and billing when a patient with known sickle-cell disease presents with acute chest syndrome, ensuring proper identification of the condition for treatment and reimbursement purposes.
ICD-10 Code D57.211 – Clinical Definition and Explanation of Sickle-cell/Hb-C disease with acute chest syndrome
Sickle-cell/Hb-C disease with acute chest syndrome is caused by the sickling of red blood cells, leading to obstruction of blood flow in the pulmonary vasculature. This condition can progress rapidly, resulting in hypoxia and respiratory failure, necessitating immediate medical attention.
Key Clinical Features:
- Acute chest pain and difficulty breathing
- Fever and cough, indicating possible infection
- Hypoxemia evidenced by low oxygen saturation levels
- Increased respiratory rate and use of accessory muscles
ICD-10 Code D57.211 for Sickle-cell/Hb-C disease with acute chest syndrome – SOAP Notes & Clinical Use
ICD-10 Code D57.211 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for acute chest syndrome. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.
What Does ICD-10 Code D57.211 for Sickle-cell/Hb-C disease with acute chest syndrome Mean in SOAP Notes?
In SOAP notes, ICD-10 Code D57.211 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of acute chest syndrome. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code D57.211 – Sickle-cell/Hb-C disease with acute chest syndrome
Sickle-cell/Hb-C disease with acute chest syndrome requires urgent medical intervention, often necessitating hospitalization for management.
Antibiotic Therapy:
- First-line: Ceftriaxone 1-2 g IV every 24 hours for 7-10 days
- Alternative: Azithromycin 500 mg IV on day 1, then 250 mg IV daily for 4 days
Supportive Care:
- Oxygen therapy to maintain adequate oxygen saturation
- Hydration with intravenous fluids to prevent vaso-occlusive crises
- Pain management with analgesics as needed
Infection Control:
- Implement standard precautions to prevent infection spread
- Monitor for signs of respiratory infections and manage accordingly
- Educate patients on hygiene practices during outbreaks
How to Document Symptoms of Sickle-cell/Hb-C disease with acute chest syndrome (ICD-10 D57.211) in SOAP Notes
Subjective:
- Patient reports acute chest pain and shortness of breath.
- History of sickle cell disease with previous episodes of acute chest syndrome.
- Patient states increased cough and fever over the last 24 hours.
Objective:
- Vital signs: Respiratory rate 28 breaths/min, oxygen saturation 88% on room air.
- Auscultation reveals wheezing and decreased breath sounds bilaterally.
- Chest X-ray shows infiltrates consistent with acute chest syndrome.
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SOAP Note Guidelines for Diagnosing Sickle-cell/Hb-C disease with acute chest syndrome (ICD-10 Code D57.211)
Assessment:
- Diagnosis: Sickle-cell/Hb-C disease with acute chest syndrome, moderate severity.
- ICD-10 Subcode: D57.211.
- Triggers: Recent respiratory infection and dehydration.
Plan:
- Initiate oxygen therapy to maintain saturation above 92%.
- Administer IV fluids and pain management as needed.
- Schedule follow-up chest X-ray and monitor for improvement.
Treatment & Plan Section for ICD-10 Code D57.211 – Sickle-cell/Hb-C disease with acute chest syndrome
- First-line pharmacologic treatments include intravenous fluids and analgesics.
- Non-pharmacologic strategies involve patient education on hydration and infection prevention.
- Monitoring includes tracking oxygen saturation and respiratory status.
- Follow-up practices should include reassessment of symptoms and potential imaging.
Using ICD-10 Code D57.211 for Sickle-cell/Hb-C disease with acute chest syndrome in Billing & SOAP Note Compliance
- Select accurate subcodes based on clinical severity or complications.
- Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
- Ensure treatment plans align with clinical guidelines to support justified billing.
- Commonly billed CPT codes include those for emergency evaluation and management.
Related ICD-10 Codes Often Used with Sickle-cell/Hb-C disease with acute chest syndrome
- D57.212 – Sickle-cell/Hb-C disease with chronic pain
- D57.219 – Sickle-cell/Hb-C disease, unspecified
- D57.41 – Sickle-cell disease with acute splenic sequestration
ICD-10 Code D57.211 in Medical Billing and Insurance for Sickle-cell/Hb-C disease with acute chest syndrome
ICD-10 Code D57.211 is crucial for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure documentation includes detailed clinical findings and treatment plans.
- Use the code in settings where acute chest syndrome is diagnosed and treated.
- Highlight key chart elements such as vital signs and treatment responses.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99285 | Emergency department visit for high severity. |
| 36415 | Collection of venous blood by venipuncture. |
| 71045 | Radiologic examination, chest, single view. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code D57.211 for Sickle-cell/Hb-C disease with acute chest syndrome
What are the common symptoms of acute chest syndrome?
Common symptoms include chest pain, difficulty breathing, cough, and fever. Patients may also exhibit signs of hypoxia, such as low oxygen saturation levels.
How is acute chest syndrome treated?
Treatment typically involves oxygen therapy, hydration, pain management, and antibiotics if an infection is suspected. Hospitalization may be required for severe cases.
When should ICD-10 Code D57.211 be used?
This code should be used when a patient with sickle-cell disease presents with acute chest syndrome, characterized by respiratory symptoms and clinical findings indicative of this condition.
What is the importance of accurate coding for D57.211?
Accurate coding ensures appropriate reimbursement, facilitates effective patient management, and supports public health reporting for sickle-cell disease complications.
