ICD-10 Coding for Abnormal Hemoglobin(D58.2, D64.9)
Complete ICD-10-CM coding and documentation guide for Abnormal Hemoglobin. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Abnormal Hemoglobin
D56-D58Primary Range
Disorders of Hemoglobin
This range includes various hemoglobinopathies and related disorders.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D58.2 | Other hemoglobinopathies | Use when a specific hemoglobinopathy is confirmed by laboratory tests. |
|
| D64.9 | Anemia, unspecified | Use when anemia is present but the specific type is not determined. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for abnormal hemoglobin
Essential facts and insights about Abnormal Hemoglobin
Primary ICD-10-CM Codes for abnormal hemoglobin
Decision Criteria
clinical Criteria
- Presence of a confirmed hemoglobin variant
Applicable To
- Hemoglobin C disease
- Hemoglobin D disease
- Hemoglobin E disease
Excludes
- Thalassemia (D56.-)
Clinical Validation Requirements
- HPLC showing variant hemoglobin
- Genetic testing confirming hemoglobin variant
Code-Specific Risks
- Misclassification without genetic confirmation
Coding Notes
- Ensure genetic confirmation of the hemoglobin variant before coding.
D64.9 - Anemia, unspecified
Use when anemia is present but the specific type is not determined.
Excludes
- Anemia due to chronic disease (D63.1)
Clinical Validation Requirements
- Hemoglobin levels below normal range without specific etiology
Coding Notes
Document any underlying conditions contributing to anemia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified abnormal findings of blood chemistry
R79.89Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Abnormal Hemoglobin to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D58.2.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Ensure comprehensive lab testing, Document all test results and clinical findings
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of patient records.
Mitigation Strategy
Identify and document any underlying conditions contributing to anemia.
Impact
Coding hemoglobinopathies without genetic confirmation increases audit risk.
Mitigation Strategy
Require genetic testing for all suspected hemoglobinopathy cases.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Abnormal Hemoglobin, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Abnormal Hemoglobin
Use these documentation templates to ensure complete and accurate documentation for Abnormal Hemoglobin. These templates include all required elements for proper coding and billing.
Hematology consult for suspected hemoglobinopathy
Specialty: HematologyRequired Elements
- Patient history
- Lab results
- Genetic testing
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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