Hemolytic-uremic syndrome, unspecified is a serious condition characterized by the triad of hemolytic anemia, acute renal failure, and thrombocytopenia. It often arises from infections, particularly those caused by certain strains of Escherichia coli. Accurate coding with ICD-10 Code D59.30 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 D59.30 for Hemolytic-uremic syndrome, unspecified?
ICD-10 Code D59.30 represents Hemolytic-uremic syndrome, unspecified, a condition that can result from various underlying diseases or complications, primarily infections. This code should be used when the specific cause of hemolytic-uremic syndrome is not identified, allowing for appropriate clinical documentation and billing in cases where the syndrome is diagnosed without a specified etiology.
ICD-10 Code D59.30 – Clinical Definition and Explanation of Hemolytic-uremic syndrome, unspecified
Hemolytic-uremic syndrome, unspecified is a critical condition that typically follows an infectious process, leading to significant morbidity. It is characterized by the destruction of red blood cells, kidney failure, and low platelet counts, necessitating immediate medical intervention to prevent severe complications.
Key Clinical Features:
- Acute renal failure with oliguria or anuria
- Thrombocytopenia with a low platelet count
- Hemolytic anemia evidenced by elevated lactate dehydrogenase (LDH) and low haptoglobin
- Potential gastrointestinal symptoms, such as diarrhea, especially in cases linked to infections
- Increased risk of neurological complications, including seizures or altered mental status
ICD-10 Code D59.30 for Hemolytic-uremic syndrome, unspecified – SOAP Notes & Clinical Use
ICD-10 Code D59.30 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with hemolytic-uremic syndrome. It plays a crucial role in both acute and chronic care settings, ensuring that symptoms are accurately recorded and that appropriate management strategies are implemented.
What Does ICD-10 Code D59.30 for Hemolytic-uremic syndrome, unspecified Mean in SOAP Notes?
In SOAP notes, ICD-10 Code D59.30 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of hemolytic-uremic syndrome. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code D59.30 – Hemolytic-uremic syndrome, unspecified
Hemolytic-uremic syndrome, unspecified often requires urgent medical attention and hospitalization for effective management. Treatment focuses on addressing the underlying cause and providing supportive care.
Antibiotic Therapy:
- First-line: Ciprofloxacin or azithromycin for bacterial infections, typically for 7-14 days
- Alternative: Trimethoprim-sulfamethoxazole if resistant strains are suspected
- Note: Antibiotics should be used cautiously, especially in cases of E. coli O157:H7 infection
Supportive Care:
- Fluid management to prevent dehydration and maintain renal perfusion
- Blood transfusions for severe anemia or significant thrombocytopenia
- Dialysis may be necessary for acute renal failure
Infection Control:
- Implement strict hand hygiene protocols to prevent transmission
- Isolation precautions for patients with infectious causes
- Education on food safety to prevent outbreaks, particularly in community settings
How to Document Symptoms of Hemolytic-uremic syndrome, unspecified (ICD-10 D59.30) in SOAP Notes
Subjective:
- Patient reports fatigue and weakness over the past week
- History of diarrhea preceding the onset of symptoms
- Complaints of decreased urine output
- Patient expresses concern about bruising and bleeding
Objective:
- Vital signs: Blood pressure 90/60 mmHg, heart rate 110 bpm
- Laboratory findings: Elevated creatinine and blood urea nitrogen (BUN)
- Complete blood count shows low hemoglobin and platelet count
- Peripheral blood smear indicates schistocytes
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SOAP Note Guidelines for Diagnosing Hemolytic-uremic syndrome, unspecified (ICD-10 Code D59.30)
Assessment:
- Diagnosis: Hemolytic-uremic syndrome, unspecified, moderate severity
- ICD-10 Code: D59.30
- Common triggers: Recent gastrointestinal infection, particularly with E. coli
- Consideration of renal function and potential complications
Plan:
- Initiate fluid resuscitation and monitor renal function closely
- Administer blood transfusions as needed for anemia
- Consult nephrology for potential dialysis requirements
- Educate patient on signs of complications and follow-up care
Treatment & Plan Section for ICD-10 Code D59.30 – Hemolytic-uremic syndrome, unspecified
- First-line pharmacologic treatment includes fluid resuscitation and blood transfusions.
- Non-pharmacologic strategies involve dietary modifications and education on infection prevention.
- Monitoring renal function and blood counts regularly to assess treatment efficacy.
- Follow-up appointments to evaluate recovery and manage any ongoing complications.
Using ICD-10 Code D59.30 for Hemolytic-uremic syndrome, unspecified 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 laboratory tests and consultations related to renal function.
Related ICD-10 Codes Often Used with Hemolytic-uremic syndrome, unspecified
ICD-10 Code D59.30 in Medical Billing and Insurance for Hemolytic-uremic syndrome, unspecified
ICD-10 Code D59.30 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.
Billing Notes:
- Ensure documentation includes detailed clinical findings and treatment plans.
- Use this code in acute care settings where the syndrome is diagnosed.
- Highlight key chart elements such as laboratory results and patient history.
- Follow payer-specific guidelines for coding and billing practices.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 80050 | General health panel including basic metabolic panel. |
| 36415 | Collection of venous blood by venipuncture. |
| 99284 | Emergency department visit for a patient with moderate severity. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code D59.30 for Hemolytic-uremic syndrome, unspecified
What are the common causes of Hemolytic-uremic syndrome?
Hemolytic-uremic syndrome is often caused by infections, particularly those from E. coli O157:H7. Other causes may include certain medications, genetic disorders, and systemic diseases.
How is Hemolytic-uremic syndrome diagnosed?
Diagnosis typically involves clinical evaluation, laboratory tests showing anemia, thrombocytopenia, and renal impairment, along with a history of recent gastrointestinal illness.
What is the treatment for Hemolytic-uremic syndrome?
Treatment focuses on supportive care, including fluid management, blood transfusions, and dialysis if necessary. Antibiotics may be used cautiously depending on the underlying cause.
Is Hemolytic-uremic syndrome contagious?
Hemolytic-uremic syndrome itself is not contagious, but the infections that can lead to it, such as those caused by E. coli, can be transmitted through contaminated food or water.
