Hereditary alpha tryptasemia is a genetic condition characterized by elevated serum tryptase levels due to mutations in the TPSAB1 gene. Clinically significant as it may lead to mast cell activation disorders, accurate coding with ICD-10 Code D89.44 is essential for diagnosis, documentation, billing, and public health reporting.
What is ICD-10 Code D89.44 for Hereditary alpha tryptasemia?
ICD-10 Code D89.44 represents Hereditary alpha tryptasemia, a genetic disorder associated with increased tryptase levels. This code should be used in clinical documentation when diagnosing patients with this condition, ensuring proper billing and facilitating the tracking of related health outcomes.
ICD-10 Code D89.44 – Clinical Definition and Explanation of Hereditary alpha tryptasemia
Hereditary alpha tryptasemia is caused by mutations in the TPSAB1 gene, leading to excessive production of tryptase by mast cells. This condition can result in various symptoms, including anaphylaxis and other mast cell-related disorders, necessitating medical attention.
Key Clinical Features:
- Elevated serum tryptase levels.
- Potential for anaphylactic reactions.
- Symptoms may include flushing, urticaria, and gastrointestinal disturbances.
- Family history of mast cell disorders may be present.
ICD-10 Code D89.44 for Hereditary alpha tryptasemia – SOAP Notes & Clinical Use
ICD-10 Code D89.44 is utilized in SOAP notes to document the diagnosis of Hereditary alpha tryptasemia. It aids in capturing patient symptoms, assessments, and treatment plans, relevant in both acute and chronic care settings.
What Does ICD-10 Code D89.44 for Hereditary alpha tryptasemia Mean in SOAP Notes?
In SOAP notes, ICD-10 Code D89.44 connects subjective patient reports and objective clinical findings to a formal diagnosis of Hereditary alpha tryptasemia, ensuring continuity of care and supporting accurate billing.
Treatment Options for ICD-10 Code D89.44 – Hereditary alpha tryptasemia
Hereditary alpha tryptasemia may require hospitalization for severe symptoms. Treatment focuses on managing symptoms and preventing complications.
Antibiotic Therapy:
Supportive Care:
- Antihistamines for symptom relief.
- Corticosteroids for severe allergic reactions.
- Education on avoiding known triggers.
Infection Control:
How to Document Symptoms of Hereditary alpha tryptasemia (ICD-10 D89.44) in SOAP Notes
Subjective:
- Patient reports episodes of flushing and hives.
- History of anaphylaxis after insect stings.
- Family history of mast cell disorders.
Objective:
- Elevated serum tryptase level noted in lab results.
- Physical examination reveals urticaria.
- Vital signs stable but with mild tachycardia.
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SOAP Note Guidelines for Diagnosing Hereditary alpha tryptasemia (ICD-10 Code D89.44)
Assessment:
- Diagnosis: Hereditary alpha tryptasemia, moderate severity.
- ICD-10 Subcode: D89.44.
- Triggers include insect stings and certain foods.
Plan:
- Initiate antihistamine therapy.
- Educate patient on anaphylaxis action plan.
- Schedule follow-up for monitoring serum tryptase levels.
Treatment & Plan Section for ICD-10 Code D89.44 – Hereditary alpha tryptasemia
- First-line treatment includes antihistamines and corticosteroids.
- Non-pharmacologic strategies involve patient education on trigger avoidance.
- Monitoring should include regular serum tryptase level assessments.
- Follow-up appointments to evaluate treatment efficacy and symptom management.
Using ICD-10 Code D89.44 for Hereditary alpha tryptasemia in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings.
- Use D89.44 in appropriate clinical settings for billing.
- Align treatment plans with clinical guidelines to support justified billing.
- Document any related conditions or complications clearly.
Related ICD-10 Codes Often Used with Hereditary alpha tryptasemia
ICD-10 Code D89.44 in Medical Billing and Insurance for Hereditary alpha tryptasemia
ICD-10 Code D89.44 is critical in medical billing, particularly in hospital and emergency care settings.
Billing Notes:
- Document all relevant patient history and clinical findings.
- Use D89.44 in emergency department visits for accurate billing.
- Ensure all chart elements support the diagnosis for claim approval.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 85025 | Complete blood count with differential. |
| 95004 | Allergy testing, skin, intradermal. |
| 99213 | Established patient office visit, level 3. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code D89.44 for Hereditary alpha tryptasemia
What are the symptoms of Hereditary alpha tryptasemia?
Symptoms may include flushing, hives, gastrointestinal issues, and anaphylaxis. Patients often report a history of allergic reactions.
How is Hereditary alpha tryptasemia diagnosed?
Diagnosis is based on clinical symptoms and elevated serum tryptase levels, confirmed through genetic testing for mutations in the TPSAB1 gene.
What treatments are available for Hereditary alpha tryptasemia?
Treatment typically involves antihistamines for symptom management and education on avoiding triggers. Severe cases may require corticosteroids.
Is Hereditary alpha tryptasemia hereditary?
Yes, Hereditary alpha tryptasemia is an inherited condition caused by mutations in the TPSAB1 gene, passed down through families.
