ICD-10 Code D57.452 | Sickle-cell thalassemia beta plus with splenic sequestration Symptoms, Diagnosis, Billing

Sickle-cell thalassemia beta plus with splenic sequestration is a genetic blood disorder characterized by the presence of both sickle cell disease and beta-thalassemia. This condition leads to abnormal hemoglobin production, resulting in hemolytic anemia, pain crises, and potential splenic sequestration. Accurate coding with ICD-10 Code D57.452 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code D57.452 for Sickle-cell thalassemia beta plus with splenic sequestration?

ICD-10 Code D57.452 represents Sickle-cell thalassemia beta plus with splenic sequestration, a condition where patients experience both sickle cell disease and beta-thalassemia, leading to severe anemia and splenic complications. This code should be used in clinical documentation and billing when diagnosing patients with this specific combination of disorders, particularly when splenic sequestration is present.

ICD-10 Code D57.452 – Clinical Definition and Explanation of Sickle-cell thalassemia beta plus with splenic sequestration

Sickle-cell thalassemia beta plus with splenic sequestration is caused by mutations in the HBB gene, leading to abnormal hemoglobin production. The condition can progress to severe anemia and splenic sequestration crises, necessitating prompt medical attention to prevent complications such as splenic infarction or infection.

Key Clinical Features:

• Hemolytic anemia with fatigue and pallor.
• Pain crises due to vaso-occlusive events.
• Splenic sequestration leading to acute splenomegaly.
• Increased risk of infections due to splenic dysfunction.

ICD-10 Code D57.452 for Sickle-cell thalassemia beta plus with splenic sequestration – SOAP Notes & Clinical Use

ICD-10 Code D57.452 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, facilitating accurate communication among healthcare providers and ensuring appropriate management of the condition.

What Does ICD-10 Code D57.452 for Sickle-cell thalassemia beta plus with splenic sequestration Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D57.452 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis. This code is crucial for ensuring continuity of care, supporting billing processes, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D57.452 – Sickle-cell thalassemia beta plus with splenic sequestration

Management of Sickle-cell thalassemia beta plus with splenic sequestration often requires hospitalization due to the risk of severe complications. Treatment focuses on symptom relief and preventing further complications.

Antibiotic Therapy:

• First-line: Penicillin prophylaxis (oral) for children until age 5.
• Alternative: Amoxicillin for patients with penicillin allergy.
• Duration: Continuous until age 5 or as directed by a physician.

Supportive Care:

• Hydration and pain management with analgesics.
• Blood transfusions for severe anemia.
• Monitoring for splenic function and infection.

Infection Control:

• Vaccination against pneumococcus, meningococcus, and Haemophilus influenzae type b.
• Prompt treatment of febrile episodes.
• Education on recognizing signs of infection.

How to Document Symptoms of Sickle-cell thalassemia beta plus with splenic sequestration (ICD-10 D57.452) in SOAP Notes

Subjective:

• Patient reports episodes of severe fatigue and pallor.
• History of recurrent pain crises requiring emergency care.
• Complaints of abdominal pain and splenomegaly.
• Patient has a known history of frequent infections.

Objective:

• Vital signs: Elevated heart rate and low hemoglobin levels.
• Physical exam: Splenomegaly noted on palpation.
• Laboratory findings: Peripheral blood smear shows sickle cells.
• CBC indicates leukocytosis and reticulocytosis.

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SOAP Note Guidelines for Diagnosing Sickle-cell thalassemia beta plus with splenic sequestration (ICD-10 Code D57.452)

Assessment:

• Diagnosis: Sickle-cell thalassemia beta plus with splenic sequestration, severe anemia.
• ICD-10 Subcode: D57.452.
• Triggers: Recent infection and dehydration.
• Complications: Risk of splenic infarction.

Plan:

• Initiate hydration therapy and pain management.
• Schedule blood transfusion for severe anemia.
• Educate patient on infection prevention and signs of crisis.
• Arrange follow-up in one week to monitor hemoglobin levels.

Treatment & Plan Section for ICD-10 Code D57.452 – Sickle-cell thalassemia beta plus with splenic sequestration

• First-line pharmacologic treatments include analgesics and blood transfusions.
• Non-pharmacologic strategies involve hydration and patient education on crisis management.
• Monitoring practices include regular CBC checks and splenic function assessments.
• Follow-up appointments should be scheduled to evaluate treatment efficacy and adjust care plans.

Using ICD-10 Code D57.452 for Sickle-cell thalassemia beta plus 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 consultations.

Related ICD-10 Codes Often Used with Sickle-cell thalassemia beta plus with splenic sequestration

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

ICD-10 Code D57.452 in Medical Billing and Insurance for Sickle-cell thalassemia beta plus with splenic sequestration

ICD-10 Code D57.452 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and clinical findings.
• Use this code in conjunction with appropriate CPT codes for services rendered.
• Highlight key chart elements such as lab results and treatment plans to support claims.

Common CPT Pairings: