ICD-10 Coding for Hemochromatosis(E83.11, E83.110)
Complete ICD-10-CM coding and documentation guide for Hemochromatosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemochromatosis
E83.10-E83.19Primary Range
Disorders of iron metabolism
This range includes all disorders related to iron metabolism, including hemochromatosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E83.11 | Hemochromatosis | Use when a diagnosis of hemochromatosis is confirmed but the type is unspecified. |
|
| E83.110 | Hereditary hemochromatosis | Use when hereditary hemochromatosis is confirmed by genetic testing. |
|
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 hereditary hemochromatosis
Essential facts and insights about Hemochromatosis
Primary ICD-10-CM Codes for hemochromatosis
Decision Criteria
clinical Criteria
- Confirmed genetic mutation and elevated iron studies
Applicable To
- Hereditary hemochromatosis
- Secondary hemochromatosis
Excludes
- Other specified disorders of iron metabolism (E83.19)
Clinical Validation Requirements
- Genetic testing confirming HFE mutation
- Transferrin saturation >45% in women, >50% in men
- Elevated serum ferritin levels
Code-Specific Risks
- Risk of using unspecified code when specific type is known
Coding Notes
- Ensure to document the specific type of hemochromatosis to avoid unspecified coding.
E83.110 - Hereditary hemochromatosis
Use when hereditary hemochromatosis is confirmed by genetic testing.
Applicable To
- HFE C282Y homozygous mutation
Excludes
- Secondary hemochromatosis (E83.111)
Clinical Validation Requirements
- HFE C282Y homozygous mutation
- Transferrin saturation >50%
- Ferritin >300 ng/mL in men, >200 ng/mL in women
Coding Notes
Document genetic test results and iron studies to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Hemochromatosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E83.11.
Impact
Clinical: Inaccurate diagnosis and treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure genetic testing is documented in the patient's record, Verify iron study results are included
Impact
Reimbursement: Potential for reduced reimbursement due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in health records
Mitigation Strategy
Ensure documentation specifies hereditary or secondary type
Impact
Using unspecified codes when specific details are available
Mitigation Strategy
Ensure detailed documentation of genetic and iron studies
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 Hemochromatosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemochromatosis
Use these documentation templates to ensure complete and accurate documentation for Hemochromatosis. These templates include all required elements for proper coding and billing.
Hereditary Hemochromatosis Diagnosis
Specialty: HematologyRequired Elements
- Genetic test results
- Iron studies
- Organ damage assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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