ICD-10 Code D57.214 | Sickle-cell/Hb-C disease with dactylitis Symptoms, Diagnosis, Billing

Sickle-cell/Hb-C disease with dactylitis is a genetic blood disorder characterized by the presence of both sickle hemoglobin and hemoglobin C. This condition can lead to painful swelling of the fingers and toes, known as dactylitis, due to vaso-occlusive crises. Accurate coding with ICD-10 Code D57.214 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 D57.214 for Sickle-cell/Hb-C disease with dactylitis?

ICD-10 Code D57.214 represents Sickle-cell/Hb-C disease with dactylitis, a condition where patients experience painful swelling of the digits due to sickle-shaped red blood cells and hemoglobin C. This code should be used in clinical documentation and billing when a patient presents with dactylitis as a complication of their underlying sickle-cell disease.

ICD-10 Code D57.214 – Clinical Definition and Explanation of Sickle-cell/Hb-C disease with dactylitis

Sickle-cell/Hb-C disease with dactylitis is caused by a genetic mutation leading to abnormal hemoglobin production. The condition progresses with episodes of pain and swelling due to blood flow obstruction in small vessels. It requires medical attention to manage symptoms and prevent complications.

Key Clinical Features:

• Painful swelling of fingers and toes (dactylitis)
• Increased risk of vaso-occlusive crises
• Anemia and fatigue due to hemolysis
• Potential for acute chest syndrome

ICD-10 Code D57.214 for Sickle-cell/Hb-C disease with dactylitis – SOAP Notes & Clinical Use

ICD-10 Code D57.214 is utilized in SOAP notes to document the presence of dactylitis in patients with Sickle-cell/Hb-C disease. It plays a crucial role in capturing symptoms, assessments, and treatment plans in both acute and chronic care settings.

What Does ICD-10 Code D57.214 for Sickle-cell/Hb-C disease with dactylitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D57.214 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Sickle-cell/Hb-C disease with dactylitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D57.214 – Sickle-cell/Hb-C disease with dactylitis

Management of Sickle-cell/Hb-C disease with dactylitis often requires hospitalization for severe cases. Treatment focuses on pain management and preventing complications.

Antibiotic Therapy:

• First-line: Penicillin VK 250 mg orally twice daily until age 5
• Alternative: Amoxicillin 20-40 mg/kg/day divided into two doses
• Duration: Prophylaxis typically continues until age 5

Supportive Care:

• Hydration to reduce sickling episodes
• Pain management with NSAIDs or opioids as needed
• Regular monitoring for signs of infection or complications

Infection Control:

• Implement standard precautions to prevent infection
• Educate patients on recognizing signs of infection
• Vaccination against pneumococcus, meningococcus, and influenza

How to Document Symptoms of Sickle-cell/Hb-C disease with dactylitis (ICD-10 D57.214) in SOAP Notes

Subjective:

• Patient reports episodes of painful swelling in fingers and toes.
• History of frequent vaso-occlusive crises.
• Complaints of fatigue and shortness of breath.
• Previous hospitalizations for pain management.

Objective:

• Swelling and tenderness noted in the hands and feet.
• Vital signs: BP 120/80, HR 90, Temp 98.6°F.
• Laboratory results: Hemoglobin level 8 g/dL.
• Signs of jaundice observed on physical examination.

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SOAP Note Guidelines for Diagnosing Sickle-cell/Hb-C disease with dactylitis (ICD-10 Code D57.214)

Assessment:

• Diagnosis: Sickle-cell/Hb-C disease with dactylitis, moderate severity.
• ICD-10 Code: D57.214.
• Triggers: Dehydration, temperature changes, and stress.
• Complications: Risk of acute chest syndrome.

Plan:

• Initiate pain management with NSAIDs and opioids as needed.
• Encourage hydration and monitor fluid intake.
• Educate patient on recognizing early signs of complications.
• Schedule follow-up appointment in 2 weeks.

Treatment & Plan Section for ICD-10 Code D57.214 – Sickle-cell/Hb-C disease with dactylitis

• First-line pharmacologic treatments include NSAIDs for pain relief.
• Non-pharmacologic strategies involve hydration and warm compresses.
• Monitoring includes regular hemoglobin checks and pain assessments.
• Follow-up practices should include routine evaluations for complications.

Using ICD-10 Code D57.214 for Sickle-cell/Hb-C disease with dactylitis 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 office visits and lab tests.

Related ICD-10 Codes Often Used with Sickle-cell/Hb-C disease with dactylitis

• D57.211 – Sickle-cell disease with dactylitis, unspecified
• D57.212 – Sickle-cell disease with dactylitis, acute
• D57.213 – Sickle-cell disease with dactylitis, chronic
• D57.219 – Sickle-cell disease with dactylitis, other

ICD-10 Code D57.214 in Medical Billing and Insurance for Sickle-cell/Hb-C disease with dactylitis

ICD-10 Code D57.214 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes specific symptoms and treatment plans.
• Use the code in conjunction with relevant CPT codes for comprehensive billing.
• Document any complications or additional diagnoses to support claims.
• Verify that all chart elements align with coding guidelines.

Common CPT Pairings: