5 Minute Medical Coding Guide: Illness of the Blood (Anemia)

5 Minute Medical Coding Guide: Illness of the Blood (Anemia)

This video cover illness of the blood and blood-forming organs. This section consists of codes D50- D89 in the ICD-10 codebook.

Chapter 3 is a short chapter which is used to code diseases of the blood and blood-forming organs and particular conditions of the body immune system. This includes diseases of:

The erythrocytes (red cell) – for example, anemia.

The leukocytes (leukocyte) – for instance, granulocytosis.

The blood clot system and thrombocytes (platelets) – for instance, hemophilia.

Particular elements of the body immune system – for example, sarcoidosis.

Anemia.

Anemia refers to either a decrease in the quantity of hemoglobin or a reduction in the volume of jam-packed red cells.

A condition that occurs whenever the equilibrium between red cell loss and red cell production is disrupted.

A decrease in production can result from a range of causes:.

aging.
bleeding.
cell damage.
The use of accurate terms is necessary in categorizing anemias. When a diagnostic declaration of anemia is not further defined in any way, the coder ought to examine the medical record to identify whether more information can be situated.
Information can be discovered in:.
lab outcomes.
pathology reports.
The most common anemias are iron shortage, vitamin B12 deficiency, and folic acid deficiency.

Shortage Anemias.

iron deficiency anemia — this is the most typical type of anemia and is brought on by a lack of iron in the blood. Iron is required for the production of hemoglobin. This kind of anemia is most commonly related to chronic blood loss however might be because of other aspects.

pernicious anemia — takes place when the body’s failure to absorb vitamin B12 through an intrinsic consider the gastrointestinal system suffers. The lack of vitamin B12 triggers large erythrocytes (red cell) as they do not divide generally. The plus size hinders the capability of the erythrocyte (red cell) to leave the bone marrow and function effectively.

Anemia Due to Intense Blood Loss D62

Severe blood loss anemia arises from an abrupt, considerable loss of blood over a quick amount of time. It might occur due to:.

Injury, such as laceration.
A rupture of the spleen or another injury of stomach viscera, where no external blood loss is noted.
Acute blood loss anemia may take place following surgical treatment, however it is not always an issue of the procedure as numerous surgeries, such as hip replacement, routinely involve a substantial amount of bleeding as a predicted part of the operation.

A complication of a surgical procedure or intense blood-loss anemia ought to not be coded unless the physician determines it.
If a postoperative blood count is low enough to suggest anemia, it is appropriate to ask the physician whether a medical diagnosis of anemia must be included.
Keep in mind, blood replacement is sometimes carried out as a preventative measure and does not suggest that anemia is present.
Examples.

D649 Anemia, undefined – Default code when postoperative anemia is recorded without requirements of acute blood loss.

D62 Intense posthemorrhagic anemia – When postoperative anemia is because of intense blood loss.

D500 Iron shortage anemia secondary to blood loss (chronic) – When neither the diagnostic declaration nor evaluation of the medical record suggests whether a blood-loss anemia is severe or persistent.

Anemia of Chronic Illness D63

Patients with persistent health problems are often seen with anemia, which may be the cause of the healthcare admission or encounter. Treatment is often directed at the anemia, not the underlying condition.

Codes for this type of anemia are classified as follows:.

Anemia in Chronic Kidney Disease:.

code first the underlying chronic kidney illness (CKD) N18-.
Fourth character shows the stage of CKD.
D631 anemia of CKD.
Anemia in neoplastic disease:.

Code first the neoplasm accountable for the anemia (C00- D49).
D630 anemia in, due to, or with the malignancy (not due to the antineoplastic chemotherapy drugs, which is an unfavorable impact).
Anemia of other persistent diseases:.

Code initially the underlying persistent illness.
D638 anemia in other chronic illness.
Sickle-Cell Anemia D57

Sickle-cell illness is a hereditary illness of the red blood cells, the illness is passed to a child when both parents bring the genetic trait. When a medical record includes both the terms “sickle-cell quality” and “sickle-cell illness,” only the code for the sickle-cell illness is designated.

For a totally free ICD-10 study guide go here:.
http://www.certifiedprofessionalcoder.com/freeaccess

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2 Comments »

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