Sickle-cell/Hb-C disease with splenic sequestration is a genetic blood disorder characterized by the presence of abnormal hemoglobin, leading to sickle-shaped red blood cells. This condition can cause splenic sequestration, where sickled cells obstruct blood flow in the spleen, resulting in acute splenic enlargement and potential splenic crisis. Accurate coding with ICD-10 Code D57.212 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 D57.212 for Sickle-cell/Hb-C disease with splenic sequestration?
ICD-10 Code D57.212 represents Sickle-cell/Hb-C disease with splenic sequestration, a complication of sickle cell disease where sickled red blood cells accumulate in the spleen, leading to splenic dysfunction. This code should be used in clinical documentation and billing when a patient presents with symptoms related to splenic sequestration, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.
ICD-10 Code D57.212 – Clinical Definition and Explanation of Sickle-cell/Hb-C disease with splenic sequestration
Sickle-cell/Hb-C disease with splenic sequestration is caused by a genetic mutation that leads to the production of abnormal hemoglobin. This condition can progress to splenic sequestration crises, which require immediate medical attention due to the risk of severe anemia and splenic infarction.
Key Clinical Features:
- Acute splenic enlargement and pain due to trapped sickled cells.
- Symptoms of anemia, including fatigue, pallor, and shortness of breath.
- Increased risk of infections due to splenic dysfunction.
- Potential for splenic rupture in severe cases.
ICD-10 Code D57.212 for Sickle-cell/Hb-C disease with splenic sequestration – SOAP Notes & Clinical Use
ICD-10 Code D57.212 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to splenic sequestration. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's clinical status.
What Does ICD-10 Code D57.212 for Sickle-cell/Hb-C disease with splenic sequestration Mean in SOAP Notes?
In SOAP notes, ICD-10 Code D57.212 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of splenic sequestration. This code supports continuity of care, facilitates accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code D57.212 – Sickle-cell/Hb-C disease with splenic sequestration
Sickle-cell/Hb-C disease with splenic sequestration often requires urgent medical intervention to prevent complications. Treatment may include supportive care and specific therapies.
Antibiotic Therapy:
- First-line: Penicillin prophylaxis for children and adults at risk.
- Alternative: Ceftriaxone for acute infections.
- Duration: Typically 10-14 days for acute infections.
Supportive Care:
- Hydration to prevent vaso-occlusive crises.
- Pain management with analgesics.
- Blood transfusions in cases of severe anemia.
Infection Control:
- Vaccination against pneumococcus, meningococcus, and Haemophilus influenzae.
- Prompt treatment of febrile episodes to prevent sepsis.
- Education on recognizing signs of infection.
How to Document Symptoms of Sickle-cell/Hb-C disease with splenic sequestration (ICD-10 D57.212) in SOAP Notes
Subjective:
- Patient reports severe left upper quadrant pain.
- History of recurrent splenic sequestration episodes.
- Complaints of fatigue and pallor.
- Recent fever and chills.
Objective:
- Physical exam reveals splenomegaly.
- Vital signs: BP 110/70, HR 100 bpm, Temp 101°F.
- Laboratory findings: Low hemoglobin (8 g/dL), elevated reticulocyte count.
- Signs of dehydration noted.
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SOAP Note Guidelines for Diagnosing Sickle-cell/Hb-C disease with splenic sequestration (ICD-10 Code D57.212)
Assessment:
- Diagnosis: Sickle-cell/Hb-C disease with splenic sequestration, moderate severity.
- ICD-10 Subcode: D57.212.
- Triggers: Recent infection and dehydration.
- Complications: Risk of splenic rupture.
Plan:
- Administer IV fluids and pain management.
- Initiate blood transfusion protocol.
- Educate patient on recognizing symptoms of splenic sequestration.
- Schedule follow-up in 1 week to monitor recovery.
Treatment & Plan Section for ICD-10 Code D57.212 – Sickle-cell/Hb-C disease with splenic sequestration
- First-line pharmacologic treatments include hydration and analgesics.
- Consider blood transfusions for severe anemia.
- Non-pharmacologic strategies include patient education on symptom recognition.
- Monitoring should include regular hemoglobin checks and follow-up appointments.
Using ICD-10 Code D57.212 for Sickle-cell/Hb-C disease with splenic sequestration 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 blood transfusions and laboratory tests.
Related ICD-10 Codes Often Used with Sickle-cell/Hb-C disease with splenic sequestration
- D57.211 – Sickle-cell/Hb-C disease without splenic sequestration
- D57.219 – Sickle-cell/Hb-C disease, unspecified
- D57.41 – Sickle-cell disease with acute chest syndrome
ICD-10 Code D57.212 in Medical Billing and Insurance for Sickle-cell/Hb-C disease with splenic sequestration
ICD-10 Code D57.212 is crucial for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure documentation includes detailed patient history and clinical findings.
- Use the code in conjunction with relevant CPT codes for comprehensive billing.
- Highlight any complications or comorbidities in the medical record.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 36430 | Blood transfusion, per unit. |
| 85025 | Complete blood count (CBC) with differential. |
| 99284 | Emergency department visit, high severity. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code D57.212 for Sickle-cell/Hb-C disease with splenic sequestration
What are the common symptoms of Sickle-cell/Hb-C disease with splenic sequestration?
Common symptoms include severe abdominal pain, fatigue, pallor, and signs of infection such as fever. Patients may also experience splenomegaly due to the accumulation of sickled cells.
How is Sickle-cell/Hb-C disease with splenic sequestration treated?
Treatment typically involves hydration, pain management, and blood transfusions if necessary. Antibiotic prophylaxis is also important to prevent infections.
When should ICD-10 Code D57.212 be used?
This code should be used when a patient presents with symptoms indicative of splenic sequestration related to Sickle-cell/Hb-C disease, ensuring accurate documentation and billing.
What complications can arise from Sickle-cell/Hb-C disease with splenic sequestration?
Complications may include splenic rupture, severe anemia, and increased susceptibility to infections due to splenic dysfunction.
