ICD-10 Code D58.1 | Hereditary elliptocytosis Symptoms, Diagnosis, Billing

Hereditary elliptocytosis is a genetic blood disorder characterized by the presence of abnormally shaped red blood cells (elliptocytes) due to defects in the cytoskeletal proteins of the erythrocytes. This condition can lead to hemolytic anemia and requires accurate diagnosis and documentation for effective management. The ICD-10 Code D58.1 facilitates precise coding for billing, clinical decision-making, and public health reporting.

What is ICD-10 Code D58.1 for Hereditary elliptocytosis?

ICD-10 Code D58.1 specifically denotes Hereditary elliptocytosis, a condition resulting from genetic mutations affecting red blood cell shape and stability. This code is utilized in clinical documentation when diagnosing patients with this hereditary disorder, ensuring appropriate billing and treatment protocols are followed.

ICD-10 Code D58.1 – Clinical Definition and Explanation of Hereditary elliptocytosis

Hereditary elliptocytosis is primarily caused by mutations in genes responsible for red blood cell membrane proteins, leading to the characteristic elliptical shape of erythrocytes. This condition can result in varying degrees of hemolytic anemia and necessitates medical evaluation and management.

Key Clinical Features:

• Presence of elliptocytes on blood smear
• Symptoms of anemia (fatigue, pallor)
• Family history of similar blood disorders
• Potential splenomegaly in severe cases

ICD-10 Code D58.1 for Hereditary elliptocytosis – SOAP Notes & Clinical Use

In clinical workflows, ICD-10 Code D58.1 is essential for documenting the diagnosis of Hereditary elliptocytosis in SOAP notes. It aids in capturing patient symptoms, assessments, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code D58.1 for Hereditary elliptocytosis Mean in SOAP Notes?

ICD-10 Code D58.1 connects subjective patient reports and objective clinical findings to a formal diagnosis of Hereditary elliptocytosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D58.1 – Hereditary elliptocytosis

Management of Hereditary elliptocytosis may require hospitalization in severe cases, particularly when anemia is significant. Treatment focuses on supportive care and monitoring.

Antibiotic Therapy:

• Not applicable as this is not an infectious condition

Supportive Care:

• Blood transfusions in severe anemia
• Folic acid supplementation
• Monitoring of hemoglobin levels
• Avoidance of triggers that exacerbate hemolysis

Infection Control:

• Standard precautions for patients with anemia
• Monitoring for infections due to splenomegaly

How to Document Symptoms of Hereditary elliptocytosis (ICD-10 D58.1) in SOAP Notes

Subjective:

• Patient reports fatigue and pallor
• Family history of hereditary blood disorders
• Symptoms worsen with physical exertion
• No recent infections or illnesses

Objective:

• Elliptocytes observed on peripheral blood smear
• Hemoglobin level: low
• Reticulocyte count: elevated
• Splenomegaly noted on physical examination

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SOAP Note Guidelines for Diagnosing Hereditary elliptocytosis (ICD-10 Code D58.1)

Assessment:

• Diagnosis: Hereditary elliptocytosis, mild to moderate severity
• ICD-10 Code: D58.1
• Contributing factors: Genetic predisposition, family history
• Monitor for potential complications such as splenic sequestration

Plan:

• Consider folic acid supplementation
• Schedule regular follow-up for hemoglobin monitoring
• Educate patient on recognizing symptoms of anemia
• Discuss potential need for blood transfusions in severe cases

Treatment & Plan Section for ICD-10 Code D58.1 – Hereditary elliptocytosis

• Blood transfusions for severe anemia
• Folic acid supplementation to support erythropoiesis
• Regular monitoring of hemoglobin and reticulocyte levels
• Patient education on managing symptoms and recognizing complications

Using ICD-10 Code D58.1 for Hereditary elliptocytosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and family history in Subjective (S) and Objective (O) sections
• Use D58.1 for all related billing to ensure compliance
• Align treatment plans with clinical guidelines to support justified billing
• Document any complications or additional diagnoses that may require separate coding

Related ICD-10 Codes Often Used with Hereditary elliptocytosis

• D58.0 – Hereditary spherocytosis
• D58.2 – Hereditary pyropoikilocytosis
• D57.1 – Sickle-cell disease with crisis

ICD-10 Code D58.1 in Medical Billing and Insurance for Hereditary elliptocytosis

ICD-10 Code D58.1 is critical in medical billing, particularly in hospital and outpatient settings, to ensure accurate reimbursement for services related to Hereditary elliptocytosis.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis
• Use D58.1 in conjunction with any related codes for comprehensive billing
• Ensure that treatment plans are clearly outlined in the medical record
• Review coding guidelines regularly to maintain compliance

Common CPT Pairings: