ICD-10 Code D57.458 | Sickle-cell thalassemia beta plus with crisis with oth comp Symptoms, Diagnosis, Billing

Sickle-cell thalassemia beta plus with crisis with other complications is a hematological disorder characterized by the presence of both sickle cell disease and beta-thalassemia. This condition can lead to severe anemia, vaso-occlusive crises, and various complications such as infections and organ damage. Accurate coding with ICD-10 Code D57.458 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 D57.458 for Sickle-cell thalassemia beta plus with crisis with oth comp?

ICD-10 Code D57.458 represents Sickle-cell thalassemia beta plus with crisis with other complications. This code is used to document cases where patients experience crises related to their sickle-cell thalassemia beta plus condition, which may include pain episodes, acute chest syndrome, or other complications. It is crucial for healthcare providers to use this code accurately in clinical documentation and billing to reflect the severity and complexity of the patient's condition.

ICD-10 Code D57.458 – Clinical Definition and Explanation of Sickle-cell thalassemia beta plus with crisis with oth comp

Sickle-cell thalassemia beta plus with crisis with other complications arises from a genetic mutation affecting hemoglobin production, leading to abnormal red blood cell shapes. This condition can cause significant morbidity and requires prompt medical attention to manage crises and prevent complications.

Key Clinical Features:

• Presence of sickle-shaped red blood cells leading to vaso-occlusive crises.
• Increased risk of infections due to splenic dysfunction.
• Chronic hemolytic anemia resulting in fatigue and pallor.
• Potential for acute chest syndrome and other organ complications.

ICD-10 Code D57.458 for Sickle-cell thalassemia beta plus with crisis with oth comp – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D57.458 is utilized to document the patient's symptoms, assessments, and treatment plans related to sickle-cell thalassemia beta plus with crisis with other complications. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code D57.458 for Sickle-cell thalassemia beta plus with crisis with oth comp Mean in SOAP Notes?

ICD-10 Code D57.458 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of sickle-cell thalassemia beta plus with crisis with other complications. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D57.458 – Sickle-cell thalassemia beta plus with crisis with oth comp

Management of Sickle-cell thalassemia beta plus with crisis with other complications often requires hospitalization for acute crises. Treatment focuses on pain management, hydration, and prevention of complications.

Antibiotic Therapy:

• First-line: Penicillin prophylaxis for children until age 5.
• Alternative: Ceftriaxone for acute infections.
• Duration: Typically 7-10 days for acute infections.

Supportive Care:

• Hydration therapy to prevent vaso-occlusive crises.
• Pain management with NSAIDs or opioids as needed.
• Blood transfusions for severe anemia or acute chest syndrome.

Infection Control:

• Implement standard precautions to prevent infection spread.
• Vaccination against pneumococcus, meningococcus, and influenza.
• Monitor for signs of infection, especially during crises.

How to Document Symptoms of Sickle-cell thalassemia beta plus with crisis with oth comp (ICD-10 D57.458) in SOAP Notes

Subjective:

• Patient reports severe pain in the chest and back.
• History of recurrent vaso-occlusive crises.
• Complaints of fatigue and shortness of breath.
• Recent fever and chills noted by the patient.

Objective:

• Vital signs: BP 110/70, HR 100 bpm, Temp 101°F.
• Physical exam reveals pallor and jaundice.
• Auscultation shows decreased breath sounds bilaterally.
• Lab results indicate hemoglobin level of 6.5 g/dL.

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SOAP Note Guidelines for Diagnosing Sickle-cell thalassemia beta plus with crisis with oth comp (ICD-10 Code D57.458)

Assessment:

• Diagnosis: Sickle-cell thalassemia beta plus with crisis with other complications, severe.
• ICD-10 Subcode: D57.458.
• Triggers: Recent infection and dehydration noted.
• Complications: Risk of acute chest syndrome and severe anemia.

Plan:

• Administer IV fluids and pain management.
• Initiate blood transfusion protocol as indicated.
• Educate patient on hydration and infection prevention.
• Schedule follow-up in 1 week or sooner if symptoms worsen.

Treatment & Plan Section for ICD-10 Code D57.458 – Sickle-cell thalassemia beta plus with crisis with oth comp

• First-line pharmacologic treatments include opioids for pain management and hydration therapy.
• Non-pharmacologic strategies involve patient education on hydration and recognizing crisis symptoms.
• Monitoring practices include regular hemoglobin checks and vital sign assessments.
• Follow-up recommendations should include outpatient management and reassessment of treatment efficacy.

Using ICD-10 Code D57.458 for Sickle-cell thalassemia beta plus with crisis with oth comp 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 that are commonly billed with ICD-10 Code D57.458 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Sickle-cell thalassemia beta plus with crisis with oth comp

• D57.1 – Sickle-cell disease with crisis
• D57.3 – Sickle-cell disease with splenic sequestration
• D56.9 – Thalassemia, unspecified

ICD-10 Code D57.458 in Medical Billing and Insurance for Sickle-cell thalassemia beta plus with crisis with oth comp

ICD-10 Code D57.458 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and clinical findings.
• Use this code in acute care settings to reflect the complexity of the patient's condition.
• Highlight key chart elements such as lab results and treatment plans to support claims.
• Verify that the code aligns with the services rendered for accurate reimbursement.

Common CPT Pairings: