ICD-10 Code D57.451 | Sickle-cell thalassemia beta plus with acute chest syndrome Symptoms, Diagnosis, Billing

Sickle-cell thalassemia beta plus with acute chest syndrome is a serious complication of sickle cell disease characterized by the presence of both sickle cell and beta-thalassemia traits. This condition leads to vaso-occlusive crises and acute chest syndrome, which can result in respiratory distress and requires immediate medical intervention. The ICD-10 Code D57.451 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this complex condition.

What is ICD-10 Code D57.451 for Sickle-cell thalassemia beta plus with acute chest syndrome?

ICD-10 Code D57.451 represents Sickle-cell thalassemia beta plus with acute chest syndrome, a condition that arises from the combination of sickle cell disease and beta-thalassemia. This code should be used in clinical documentation and billing when a patient presents with acute chest syndrome, which is characterized by chest pain, fever, and respiratory symptoms, necessitating prompt medical evaluation and treatment.

ICD-10 Code D57.451 – Clinical Definition and Explanation of Sickle-cell thalassemia beta plus with acute chest syndrome

Sickle-cell thalassemia beta plus with acute chest syndrome is caused by the abnormal hemoglobin resulting from both sickle cell and beta-thalassemia mutations. This condition can lead to severe complications, including acute chest syndrome, which requires immediate medical attention due to the risk of respiratory failure. Early recognition and treatment are crucial for improving patient outcomes.

Key Clinical Features:

• Acute chest pain and respiratory distress
• Fever and cough indicative of infection
• Hypoxemia and decreased oxygen saturation
• History of vaso-occlusive crises

ICD-10 Code D57.451 for Sickle-cell thalassemia beta plus with acute chest syndrome – SOAP Notes & Clinical Use

ICD-10 Code D57.451 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 that supports clinical decision-making and billing processes.

What Does ICD-10 Code D57.451 for Sickle-cell thalassemia beta plus with acute chest syndrome Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D57.451 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of acute chest syndrome. This code plays a vital role in ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D57.451 – Sickle-cell thalassemia beta plus with acute chest syndrome

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

Supportive Care:

• Oxygen therapy to maintain adequate oxygen saturation
• Hydration with intravenous fluids to prevent dehydration
• Pain management with analgesics

Infection Control:

• Implement standard precautions to prevent infection spread
• Monitor for signs of respiratory infections and initiate isolation if necessary

How to Document Symptoms of Sickle-cell thalassemia beta plus with acute chest syndrome (ICD-10 D57.451) in SOAP Notes

Subjective:

• Patient reports acute chest pain and difficulty breathing.
• History of recent fever and cough.
• Known sickle cell disease with previous vaso-occlusive crises.
• Patient states increased fatigue over the past few days.

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 tests indicate elevated white blood cell count.

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SOAP Note Guidelines for Diagnosing Sickle-cell thalassemia beta plus with acute chest syndrome (ICD-10 Code D57.451)

Assessment:

• Diagnosis: Sickle-cell thalassemia beta plus with acute chest syndrome, moderate severity.
• ICD-10 Code: D57.451.
• Triggers: Recent respiratory infection and dehydration.
• Complications: Risk of respiratory failure.

Plan:

• Initiate intravenous hydration and oxygen therapy.
• Administer antibiotics as per guidelines.
• Provide analgesics for pain management.
• Schedule follow-up in 1 week to reassess respiratory status.

Treatment & Plan Section for ICD-10 Code D57.451 – Sickle-cell thalassemia beta plus with acute chest syndrome

• First-line pharmacologic treatments include intravenous antibiotics and analgesics.
• Non-pharmacologic strategies involve hydration and oxygen therapy.
• Monitoring includes regular assessment of oxygen saturation and respiratory status.
• Follow-up practices should include reassessment of symptoms and potential imaging if needed.

Using ICD-10 Code D57.451 for Sickle-cell thalassemia beta plus 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 D57.451 based on standard medical coding practices.

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

• D57.1 – Sickle-cell disease with crisis
• D57.3 – Sickle-cell disease with acute chest syndrome

ICD-10 Code D57.451 in Medical Billing and Insurance for Sickle-cell thalassemia beta plus with acute chest syndrome

ICD-10 Code D57.451 is critical in medical billing, particularly 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 lab results to support claims.
• Document any complications or comorbidities that may affect billing.

Common CPT Pairings: