ICD-10 Coding for Elevated Hemoglobin(D45, D75.1, R71.8)
Complete ICD-10-CM coding and documentation guide for Elevated Hemoglobin. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Hemoglobin
D45-D47Primary Range
Myeloproliferative diseases
This range includes polycythemia vera, which is a primary condition associated with elevated hemoglobin.
Secondary polycythemia
This code is used for secondary causes of elevated hemoglobin, such as chronic hypoxia.
Other specified abnormal findings of blood chemistry
Used for unspecified elevated hemoglobin when the cause is not yet determined.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D45 | Polycythemia vera | Use when polycythemia vera is confirmed by clinical and laboratory findings. |
|
| D75.1 | Secondary polycythemia | Use when elevated hemoglobin is secondary to another condition. |
|
| R71.8 | Other specified abnormal findings of blood chemistry | Use when elevated hemoglobin is noted but the etiology is not yet 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 elevated hemoglobin
Essential facts and insights about Elevated Hemoglobin
Primary ICD-10-CM Codes for elevated hemoglobin
Decision Criteria
clinical Criteria
- Presence of JAK2 mutation and elevated hemoglobin levels.
Applicable To
- Polycythemia vera
Excludes
- Secondary polycythemia (D75.1)
Clinical Validation Requirements
- JAK2 mutation positive
- Hgb >18.5 g/dL (M) or >16.5 g/dL (F)
- Splenomegaly
Code-Specific Risks
- Incorrectly coding secondary polycythemia as D45.
Coding Notes
- Ensure JAK2 mutation status is documented for accurate coding.
D75.1 - Secondary polycythemia
Use when elevated hemoglobin is secondary to another condition.
Applicable To
- Polycythemia due to chronic hypoxia
Excludes
- Polycythemia vera (D45)
Clinical Validation Requirements
- ABG showing hypoxemia
- Elevated EPO levels
Coding Notes
Link to the primary condition causing the secondary polycythemia.
R71.8 - Other specified abnormal findings of blood chemistry
Use when elevated hemoglobin is noted but the etiology is not yet determined.
Applicable To
- Asymptomatic erythrocytosis
Clinical Validation Requirements
- Elevated hemoglobin without a confirmed diagnosis
Coding Notes
Use as a temporary code until further diagnosis is made.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Spontaneous ecchymoses
R23.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Hemoglobin to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D45.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document the underlying cause of secondary polycythemia., Use appropriate sequencing of codes.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure JAK2 mutation is documented before using D45.
Impact
Lack of documentation for JAK2 mutation in polycythemia vera cases.
Mitigation Strategy
Ensure all polycythemia vera diagnoses include JAK2 test results.
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 Elevated Hemoglobin, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Hemoglobin
Use these documentation templates to ensure complete and accurate documentation for Elevated Hemoglobin. These templates include all required elements for proper coding and billing.
Polycythemia vera diagnosis
Specialty: HematologyRequired Elements
- JAK2 mutation status
- Hemoglobin and hematocrit levels
- Splenomegaly presence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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