ICD-10 Code D76.1 | Hemophagocytic lymphohistiocytosis Symptoms, Diagnosis, Billing

Hemophagocytic lymphohistiocytosis is a severe systemic inflammatory syndrome characterized by excessive activation of the immune system, leading to hemophagocytosis. It can be triggered by infections, malignancies, or autoimmune diseases. Accurate coding with ICD-10 Code D76.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code D76.1 for Hemophagocytic lymphohistiocytosis?

ICD-10 Code D76.1 represents Hemophagocytic lymphohistiocytosis, a condition where the body's immune system becomes overly activated, leading to the destruction of blood cells. This code should be used when documenting cases of hemophagocytic lymphohistiocytosis, particularly in relation to underlying diseases or complications, to ensure accurate clinical documentation and billing.

ICD-10 Code D76.1 – Clinical Definition and Explanation of Hemophagocytic lymphohistiocytosis

Hemophagocytic lymphohistiocytosis is caused by an uncontrolled immune response, often triggered by infections, malignancies, or autoimmune disorders. It can progress rapidly, leading to multi-organ failure and requires immediate medical attention.

Key Clinical Features:

• Fever and systemic inflammation
• Cytopenias (anemia, thrombocytopenia, leukopenia)
• Hepatosplenomegaly
• Elevated liver enzymes and ferritin levels

ICD-10 Code D76.1 for Hemophagocytic lymphohistiocytosis – SOAP Notes & Clinical Use

ICD-10 Code D76.1 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of hemophagocytic lymphohistiocytosis. It is relevant in both acute and chronic care settings, facilitating comprehensive patient management.

What Does ICD-10 Code D76.1 for Hemophagocytic lymphohistiocytosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D76.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of hemophagocytic lymphohistiocytosis, ensuring continuity of care and supporting accurate billing.

Treatment Options for ICD-10 Code D76.1 – Hemophagocytic lymphohistiocytosis

Hemophagocytic lymphohistiocytosis often necessitates hospitalization for intensive management. Treatment focuses on addressing the underlying cause and may include specific therapies.

Antibiotic Therapy:

• Not applicable as hemophagocytic lymphohistiocytosis is not primarily infectious; however, treat underlying infections if present.

Supportive Care:

• Corticosteroids to reduce inflammation
• Intravenous immunoglobulin (IVIG) for immune modulation
• Supportive transfusions for cytopenias

Infection Control:

• Implement standard precautions to prevent infection spread
• Monitor for signs of secondary infections

How to Document Symptoms of Hemophagocytic lymphohistiocytosis (ICD-10 D76.1) in SOAP Notes

Subjective:

• Patient reports persistent fever and fatigue.
• History of recent viral infection.
• Complaints of easy bruising and bleeding.
• Family history of autoimmune disorders.

Objective:

• Vital signs: Fever 39°C, tachycardia.
• Physical exam: Splenomegaly and hepatomegaly noted.
• Laboratory findings: Anemia, thrombocytopenia, elevated ferritin.
• Imaging: Ultrasound shows splenomegaly.

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SOAP Note Guidelines for Diagnosing Hemophagocytic lymphohistiocytosis (ICD-10 Code D76.1)

Assessment:

• Diagnosis: Hemophagocytic lymphohistiocytosis, severe.
• ICD-10 Code: D76.1.
• Triggers: Recent viral infection and possible autoimmune component.
• Consider differential diagnoses such as sepsis or malignancy.

Plan:

• Initiate corticosteroid therapy.
• Consult hematology for further management.
• Monitor blood counts and liver function tests.
• Schedule follow-up in one week or sooner if symptoms worsen.

Treatment & Plan Section for ICD-10 Code D76.1 – Hemophagocytic lymphohistiocytosis

• First-line treatment includes corticosteroids to manage inflammation.
• Consider IVIG for immune modulation in severe cases.
• Monitor for complications such as infections and organ failure.
• Educate the patient on recognizing symptoms of worsening condition.

Using ICD-10 Code D76.1 for Hemophagocytic lymphohistiocytosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D76.1 for cases of hemophagocytic lymphohistiocytosis related to underlying conditions.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes for procedures and treatments provided.

Related ICD-10 Codes Often Used with Hemophagocytic lymphohistiocytosis

• D69.6 – Secondary thrombocytopenia
• D47.1 – Histiocytic disorders

ICD-10 Code D76.1 in Medical Billing and Insurance for Hemophagocytic lymphohistiocytosis

ICD-10 Code D76.1 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and treatments to support the claim.
• Use D76.1 in conjunction with codes for underlying conditions when applicable.
• Ensure compliance with payer-specific documentation requirements.
• Review coding guidelines regularly to stay updated on changes.

Common CPT Pairings: