ICD-10 Code D57.814 | Other sickle-cell disorders with dactylitis Symptoms, Diagnosis, Billing

Other sickle-cell disorders with dactylitis are characterized by painful swelling of the fingers and toes due to vaso-occlusive crises associated with sickle cell disease. This condition is significant as it can lead to complications such as infections and chronic pain. The ICD-10 Code D57.814 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code D57.814 for Other sickle-cell disorders with dactylitis?

ICD-10 Code D57.814 represents Other sickle-cell disorders with dactylitis, a condition where patients experience painful swelling of the digits due to sickle cell pathology. This code should be used in clinical documentation and billing when patients present with dactylitis as a complication of their underlying sickle cell disorder, ensuring proper treatment and reimbursement.

ICD-10 Code D57.814 – Clinical Definition and Explanation of Other sickle-cell disorders with dactylitis

Other sickle-cell disorders with dactylitis arise from the sickling of red blood cells, leading to vaso-occlusive events that cause pain and swelling in the hands and feet. This condition requires prompt medical attention to manage symptoms and prevent complications.

Key Clinical Features:

• Painful swelling of fingers and toes (dactylitis)
• History of sickle cell disease or related disorders
• Potential for recurrent vaso-occlusive crises
• Increased risk of infections due to compromised blood flow
• Possible chronic pain and functional impairment

ICD-10 Code D57.814 for Other sickle-cell disorders with dactylitis – SOAP Notes & Clinical Use

ICD-10 Code D57.814 is utilized in SOAP notes to document the presence of dactylitis in patients with sickle-cell disorders. It plays a crucial role in capturing symptoms, assessments, and treatment plans in both acute and chronic care settings.

What Does ICD-10 Code D57.814 for Other sickle-cell disorders with dactylitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D57.814 connects subjective reports of pain and swelling with objective clinical findings, facilitating a formal diagnosis. This code is essential for ensuring continuity of care, supporting billing processes, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D57.814 – Other sickle-cell disorders with dactylitis

Management of Other sickle-cell disorders with dactylitis focuses on alleviating symptoms and preventing complications. Hospitalization may be necessary for severe cases.

Antibiotic Therapy:

• First-line: Penicillin VK 250 mg orally twice daily for children under 5 years.
• Alternative: Amoxicillin 500 mg orally three times daily for 10 days if infection is suspected.
• Duration: Typically 10-14 days based on clinical response.

Supportive Care:

• Hydration to prevent vaso-occlusive crises.
• Pain management with NSAIDs or opioids as needed.
• Warm compresses to affected areas to reduce swelling.
• Regular monitoring for signs of infection.

Infection Control:

• Strict hand hygiene practices.
• Isolation precautions if febrile or suspected infectious.
• Vaccination updates as per CDC guidelines.

How to Document Symptoms of Other sickle-cell disorders with dactylitis (ICD-10 D57.814) in SOAP Notes

Subjective:

• Patient reports severe pain and swelling in fingers and toes.
• History of recurrent dactylitis episodes.
• Patient states symptoms worsen with dehydration or stress.
• No recent infections reported.

Objective:

• Swelling noted in both hands and feet on examination.
• Vital signs: Temperature 99.5°F, pulse 88 bpm.
• Tenderness on palpation of affected digits.
• No signs of acute infection observed.

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SOAP Note Guidelines for Diagnosing Other sickle-cell disorders with dactylitis (ICD-10 Code D57.814)

Assessment:

• Diagnosis: Other sickle-cell disorders with dactylitis, moderate severity.
• ICD-10 Code: D57.814.
• Triggers: Dehydration, stress, and infection.
• Complications: Risk of recurrent vaso-occlusive crises.

Plan:

• Initiate hydration therapy and pain management.
• Educate patient on recognizing early signs of dactylitis.
• Schedule follow-up in 1 week to reassess symptoms.
• Consider referral to hematology for ongoing management.

Treatment & Plan Section for ICD-10 Code D57.814 – Other sickle-cell disorders with dactylitis

• First-line pharmacologic treatments include NSAIDs for pain relief.
• Non-pharmacologic strategies involve hydration and warm compresses.
• Monitoring includes tracking pain levels and frequency of dactylitis episodes.
• Follow-up appointments to assess treatment efficacy and adjust management.

Using ICD-10 Code D57.814 for Other sickle-cell disorders 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.
• Commonly billed CPT codes include evaluation and management services.

Related ICD-10 Codes Often Used with Other sickle-cell disorders with dactylitis

• D57.811 – Sickle-cell disease with dactylitis, acute crisis
• D57.819 – Other sickle-cell disorders, unspecified
• D57.812 – Sickle-cell disease with dactylitis, chronic
• D57.813 – Sickle-cell disease with dactylitis, recurrent

ICD-10 Code D57.814 in Medical Billing and Insurance for Other sickle-cell disorders with dactylitis

ICD-10 Code D57.814 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant patient history and clinical findings to support the use of this code.
• Use this code in conjunction with appropriate CPT codes for comprehensive billing.
• Ensure that the diagnosis is clearly linked to the treatment provided in the medical record.

Common CPT Pairings: