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ICD-10 Code D57.414 | Sickle-cell thalassemia, unspecified, with dactylitis Symptoms, Diagnosis, Billing

Sickle-cell thalassemia, unspecified, with dactylitis is a genetic blood disorder characterized by the presence of both sickle cell disease and thalassemia. This condition leads to abnormal hemoglobin production, resulting in sickle-shaped red blood cells that can cause vaso-occlusive crises and dactylitis, which is painful swelling of the fingers and toes. Accurate coding with ICD-10 Code D57.414 is essential for proper diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code D57.414 for Sickle-cell thalassemia, unspecified, with dactylitis?

ICD-10 Code D57.414 represents Sickle-cell thalassemia, unspecified, with dactylitis, a condition where patients exhibit symptoms of both sickle cell disease and thalassemia, leading to complications such as dactylitis. This code should be used in clinical documentation and billing when a patient presents with these specific symptoms, ensuring accurate representation of the patient's health status.

ICD-10 Code D57.414 – Clinical Definition and Explanation of Sickle-cell thalassemia, unspecified, with dactylitis

Sickle-cell thalassemia, unspecified, with dactylitis is caused by genetic mutations affecting hemoglobin production, leading to the formation of sickle-shaped red blood cells. This condition can result in various complications, including painful episodes and increased risk of infections, necessitating medical attention.

Key Clinical Features:

  • Presence of sickle-shaped red blood cells.
  • Episodes of pain due to vaso-occlusive crises.
  • Dactylitis, characterized by swelling of fingers and toes.
  • Increased susceptibility to infections.
  • Anemia and fatigue due to hemolysis.

ICD-10 Code D57.414 for Sickle-cell thalassemia, unspecified, with dactylitis – SOAP Notes & Clinical Use

ICD-10 Code D57.414 is utilized in SOAP notes to document the patient's symptoms, assessment, and treatment plan. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and guiding appropriate management strategies.

What Does ICD-10 Code D57.414 for Sickle-cell thalassemia, unspecified, with dactylitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D57.414 connects subjective reports of pain and swelling with objective clinical findings, facilitating a formal diagnosis. This code supports continuity of care, aids in billing processes, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D57.414 – Sickle-cell thalassemia, unspecified, with dactylitis

Management of Sickle-cell thalassemia, unspecified, with dactylitis requires a multifaceted approach to alleviate symptoms and prevent complications.

Antibiotic Therapy:

  • Penicillin prophylaxis for children to prevent infections.
  • Ceftriaxone for acute bacterial infections.
  • Consideration of alternative antibiotics based on sensitivity.

Supportive Care:

  • Hydration to prevent vaso-occlusive crises.
  • Pain management with NSAIDs or opioids as needed.
  • Regular blood transfusions in severe cases.

Infection Control:

  • Vaccination against pneumococcus, meningococcus, and influenza.
  • Education on recognizing signs of infection.
  • Isolation precautions during outbreaks.

How to Document Symptoms of Sickle-cell thalassemia, unspecified, with dactylitis (ICD-10 D57.414) in SOAP Notes

Subjective:

  • Patient reports episodes of severe pain in hands and feet.
  • History of recurrent infections and hospitalizations.
  • Complaints of fatigue and weakness.
  • Family history of sickle cell disease.

Objective:

  • Swelling noted in fingers and toes on examination.
  • Hemoglobin level shows anemia.
  • Elevated white blood cell count indicating possible infection.
  • Pain scale rating of 8/10 during assessment.
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SOAP Note Guidelines for Diagnosing Sickle-cell thalassemia, unspecified, with dactylitis (ICD-10 Code D57.414)

Assessment:

  • Diagnosis: Sickle-cell thalassemia, unspecified, with dactylitis, moderate severity.
  • ICD-10 Code: D57.414.
  • Triggers include dehydration and infection.
  • Patient exhibits signs of vaso-occlusive crisis.

Plan:

  • Initiate hydration therapy and pain management.
  • Schedule regular follow-up for blood transfusions.
  • Educate patient on infection prevention strategies.
  • Monitor hemoglobin levels and adjust treatment as necessary.

Treatment & Plan Section for ICD-10 Code D57.414 – Sickle-cell thalassemia, unspecified, with dactylitis

  • First-line pharmacologic treatments include analgesics for pain relief.
  • Non-pharmacologic strategies such as hydration and rest.
  • Monitoring hemoglobin levels and frequency of pain episodes.
  • Follow-up appointments to assess treatment efficacy and adjust as needed.

Using ICD-10 Code D57.414 for Sickle-cell thalassemia, unspecified, 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.
  • List CPT codes commonly billed with ICD-10 Code D57.414 based on standard medical coding practices.

ICD-10 Code D57.414 in Medical Billing and Insurance for Sickle-cell thalassemia, unspecified, with dactylitis

ICD-10 Code D57.414 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure documentation includes detailed patient history and symptomatology.
  • Use this code in conjunction with appropriate CPT codes for comprehensive billing.
  • Highlight any complications or comorbidities in the medical record.
  • Maintain clear and concise notes to support the claim.

Common CPT Pairings:

CPT CodeDescription
36415Collection of venous blood by venipuncture.
85025Complete blood count (CBC) with automated differential.
99213Established patient office visit, level 3.
36416Collection of capillary blood specimen.

Frequently Asked Questions

Common Questions About Using ICD-10 Code D57.414 for Sickle-cell thalassemia, unspecified, with dactylitis

What are the common symptoms of Sickle-cell thalassemia?

Common symptoms include episodes of severe pain, swelling in the hands and feet (dactylitis), fatigue, and increased susceptibility to infections due to anemia.

How is Sickle-cell thalassemia diagnosed?

Diagnosis is typically made through blood tests that reveal the presence of sickle-shaped red blood cells and abnormal hemoglobin patterns, along with clinical evaluation of symptoms.

What treatments are available for Sickle-cell thalassemia?

Treatment options include pain management, hydration, blood transfusions, and prophylactic antibiotics to prevent infections. Regular monitoring is essential for managing complications.

Is Sickle-cell thalassemia a hereditary condition?

Yes, Sickle-cell thalassemia is an inherited genetic disorder, passed down from parents to children through mutations in the hemoglobin gene.

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