ICD-10 Code D57.431 | Sickle-cell thalassemia beta zero with acute chest syndrome Symptoms, Diagnosis, Billing

Sickle-cell thalassemia beta zero with acute chest syndrome is a severe complication of sickle cell disease characterized by the presence of sickle-shaped red blood cells and thalassemia, leading to vaso-occlusive crises and respiratory distress. This condition is clinically significant as it can result in acute respiratory failure and requires prompt medical intervention. The ICD-10 Code D57.431 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code D57.431 for Sickle-cell thalassemia beta zero with acute chest syndrome?

ICD-10 Code D57.431 represents Sickle-cell thalassemia beta zero with acute chest syndrome, a condition that arises from the combination of sickle cell disease and thalassemia, leading to acute chest syndrome characterized by chest pain, fever, and respiratory distress. This code should be used in clinical documentation and billing when a patient presents with these symptoms, ensuring proper identification of the underlying disease and its complications.

ICD-10 Code D57.431 – Clinical Definition and Explanation of Sickle-cell thalassemia beta zero with acute chest syndrome

Sickle-cell thalassemia beta zero with acute chest syndrome is caused by the sickling of red blood cells due to abnormal hemoglobin, leading to vaso-occlusion and subsequent lung complications. This condition progresses rapidly and requires immediate medical attention to prevent severe respiratory failure and other complications.

Key Clinical Features:

• Acute chest pain and respiratory distress
• Fever and cough indicative of pulmonary involvement
• Hypoxemia and tachypnea on examination
• History of vaso-occlusive crises or previous acute chest syndrome episodes

ICD-10 Code D57.431 for Sickle-cell thalassemia beta zero with acute chest syndrome – SOAP Notes & Clinical Use

ICD-10 Code D57.431 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management strategies.

What Does ICD-10 Code D57.431 for Sickle-cell thalassemia beta zero with acute chest syndrome Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D57.431 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of acute chest syndrome. This code plays a crucial role in ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D57.431 – Sickle-cell thalassemia beta zero with acute chest syndrome

Sickle-cell thalassemia beta zero with acute chest syndrome often necessitates hospitalization due to the risk of respiratory failure. Treatment focuses on managing symptoms and preventing complications.

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
• Consideration for MRSA coverage if pneumonia is suspected

Supportive Care:

• Oxygen therapy to maintain adequate oxygen saturation
• Hydration via IV fluids to prevent dehydration
• Pain management with analgesics as needed

Infection Control:

• Implement droplet precautions during hospitalization
• Monitor for signs of infection and respiratory distress
• Educate patients on hygiene practices to prevent infections

How to Document Symptoms of Sickle-cell thalassemia beta zero with acute chest syndrome (ICD-10 D57.431) in SOAP Notes

Subjective:

• Patient reports sudden onset of chest pain and difficulty breathing.
• History of fever and cough for the past two days.
• Previous episodes of acute chest syndrome noted in medical history.
• Patient states increased fatigue and malaise.

Objective:

• Vital signs: Respiratory rate 28 breaths/min, oxygen saturation 88% on room air.
• Auscultation reveals decreased breath sounds and wheezing.
• Chest X-ray shows infiltrates consistent with acute chest syndrome.
• Laboratory results indicate elevated white blood cell count.

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SOAP Note Guidelines for Diagnosing Sickle-cell thalassemia beta zero with acute chest syndrome (ICD-10 Code D57.431)

Assessment:

• Diagnosis: Sickle-cell thalassemia beta zero with acute chest syndrome, moderate severity.
• ICD-10 Code: D57.431.
• Triggers: Recent upper respiratory infection and dehydration.
• Complications: Risk of acute respiratory failure.

Plan:

• Initiate IV hydration and oxygen therapy.
• Administer antibiotics as per protocol.
• Provide analgesics for pain management.
• Schedule follow-up chest X-ray and monitor respiratory status.

Treatment & Plan Section for ICD-10 Code D57.431 – Sickle-cell thalassemia beta zero with acute chest syndrome

• First-line pharmacologic treatment includes IV antibiotics and analgesics.
• Non-pharmacologic strategies involve hydration and oxygen therapy.
• Monitoring includes regular assessment of respiratory status and vital signs.
• Follow-up practices should include repeat imaging and evaluation of treatment response.

Using ICD-10 Code D57.431 for Sickle-cell thalassemia beta zero 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.
• Only list CPT codes that are commonly billed with ICD-10 Code D57.431 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Sickle-cell thalassemia beta zero with acute chest syndrome

• D57.419 – Sickle-cell thalassemia beta unspecified with acute chest syndrome
• D57.1 – Sickle-cell disease with crisis
• D57.3 – Sickle-cell disease with other complications

ICD-10 Code D57.431 in Medical Billing and Insurance for Sickle-cell thalassemia beta zero with acute chest syndrome

ICD-10 Code D57.431 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure accurate documentation of symptoms and treatment to support claims.
• Use this code in acute care settings where immediate intervention is required.
• Highlight key chart elements such as vital signs and treatment response.
• Document any complications or comorbidities that may affect billing.

Common CPT Pairings: