ICD-10 Code D59.3 | Hemolytic-uremic syndrome Symptoms, Diagnosis, Billing

Hemolytic-uremic syndrome is a serious condition characterized by the triad of hemolytic anemia, acute renal failure, and thrombocytopenia. It is often triggered by infections, particularly those caused by certain strains of Escherichia coli. Accurate coding with ICD-10 Code D59.3 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this critical condition.

What is ICD-10 Code D59.3 for Hemolytic-uremic syndrome?

ICD-10 Code D59.3 specifically represents Hemolytic-uremic syndrome, a condition that arises from the destruction of red blood cells, leading to kidney failure and low platelet counts. This code should be used in clinical documentation when diagnosing patients presenting with symptoms consistent with this syndrome, particularly following gastrointestinal infections, to ensure accurate billing and treatment planning.

ICD-10 Code D59.3 – Clinical Definition and Explanation of Hemolytic-uremic syndrome

Hemolytic-uremic syndrome is primarily caused by infections, particularly those from Shiga toxin-producing E. coli. The condition progresses rapidly, leading to severe complications such as acute kidney injury and requires immediate medical intervention. Early recognition and treatment are crucial to prevent long-term sequelae.

Key Clinical Features:

• Hemolytic anemia with elevated lactate dehydrogenase (LDH) levels
• Acute renal failure evidenced by elevated creatinine
• Thrombocytopenia with low platelet counts
• Gastrointestinal symptoms such as diarrhea, often preceding the syndrome
• Potential neurological complications in severe cases

ICD-10 Code D59.3 for Hemolytic-uremic syndrome – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D59.3 is utilized to document the patient's symptoms, assessment findings, and treatment plans related to Hemolytic-uremic syndrome. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's clinical status and response to treatment.

What Does ICD-10 Code D59.3 for Hemolytic-uremic syndrome Mean in SOAP Notes?

ICD-10 Code D59.3 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Hemolytic-uremic syndrome. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D59.3 – Hemolytic-uremic syndrome

Hemolytic-uremic syndrome often necessitates hospitalization due to the risk of severe complications. Treatment focuses on supportive care and addressing the underlying cause.

Antibiotic Therapy:

• Not typically indicated for E. coli infections due to risk of complications
• If bacterial infection is confirmed, consider azithromycin or ciprofloxacin for alternative pathogens
• Duration of therapy is usually 7-14 days depending on clinical response

Supportive Care:

• Fluid management to prevent dehydration and support renal function
• Blood transfusions for severe anemia
• Dialysis may be required for acute renal failure

Infection Control:

• Implement standard precautions to prevent transmission
• Educate patients on hygiene practices to reduce infection risk
• Monitor for outbreaks in community settings

How to Document Symptoms of Hemolytic-uremic syndrome (ICD-10 D59.3) in SOAP Notes

Subjective:

• Patient reports fatigue and weakness
• History of diarrhea preceding symptoms
• Complaints of decreased urine output
• Nausea and abdominal pain noted

Objective:

• Elevated blood pressure
• Decreased urine output observed
• Laboratory results show elevated creatinine and low hemoglobin
• Platelet count significantly reduced

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SOAP Note Guidelines for Diagnosing Hemolytic-uremic syndrome (ICD-10 Code D59.3)

Assessment:

• Diagnosis: Hemolytic-uremic syndrome, acute, severe
• ICD-10 Code: D59.3
• Common triggers include recent gastrointestinal infection
• Patient exhibits signs of acute renal failure

Plan:

• Initiate fluid resuscitation and monitor renal function
• Consider blood transfusion for symptomatic anemia
• Educate patient on signs of complications and follow-up care
• Schedule follow-up in 1 week to reassess renal function

Treatment & Plan Section for ICD-10 Code D59.3 – Hemolytic-uremic syndrome

• Administer IV fluids to maintain hydration
• Monitor renal function and electrolytes regularly
• Provide patient education on dietary modifications and symptom management
• Arrange for nephrology consultation if renal function does not improve

Using ICD-10 Code D59.3 for Hemolytic-uremic syndrome in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes
• Use D59.3 in conjunction with relevant procedure codes for billing
• Document any complications or comorbidities to support coding accuracy
• Follow clinical guidelines for treatment to justify billing claims

Related ICD-10 Codes Often Used with Hemolytic-uremic syndrome

• A00.0 – Cholera due to Vibrio cholerae
• D59.2 – Other secondary thrombocytopenia

ICD-10 Code D59.3 in Medical Billing and Insurance for Hemolytic-uremic syndrome

ICD-10 Code D59.3 is crucial for billing in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the use of D59.3
• Ensure that the diagnosis is clearly linked to the patient's presenting symptoms
• Use D59.3 in conjunction with procedure codes for comprehensive billing
• Review payer guidelines for specific documentation requirements

Common CPT Pairings: