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ICD-10 Coding for Hereditary Hemochromatosis(E83.110, E83.118)

Complete ICD-10-CM coding and documentation guide for Hereditary Hemochromatosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Genetic HemochromatosisHFE Hemochromatosis

Related ICD-10 Code Ranges

Complete code families applicable to Hereditary Hemochromatosis

E83.1Primary Range

Disorders of iron metabolism

This range includes hereditary hemochromatosis and other iron metabolism disorders.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E83.110Hereditary hemochromatosisUse when hereditary hemochromatosis is confirmed by genetic testing.
  • C282Y homozygous mutation confirmed by HFE gene analysis
  • Transferrin saturation ≥45%
  • Serum ferritin >300 ng/mL in men, >200 ng/mL in women
E83.118Other hemochromatosisUse when non-HFE genetic mutations are confirmed.
  • Non-HFE genetic mutations confirmed
  • Iron overload symptoms

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 Hereditary Hemochromatosis

The ICD-10 code for hereditary hemochromatosis is E83.110, used when genetic testing confirms the condition.

Primary ICD-10-CM Codes for hereditary hemochromatosis

Hereditary hemochromatosis
Billable Code

Decision Criteria

clinical Criteria

  • Presence of C282Y homozygous mutation

documentation Criteria

  • Documented genetic test results

Applicable To

  • HFE-related hemochromatosis

Excludes

  • Secondary hemochromatosis (E83.111)

Clinical Validation Requirements

  • C282Y homozygous mutation confirmed by HFE gene analysis
  • Transferrin saturation ≥45%
  • Serum ferritin >300 ng/mL in men, >200 ng/mL in women

Code-Specific Risks

  • Incorrectly coding as E83.11 without genetic confirmation

Coding Notes

  • Ensure genetic confirmation is documented before using this code.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

HFE gene analysis

81256
Use for genetic confirmation of hereditary hemochromatosis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Secondary hemochromatosis

E83.111
Use for iron overload due to transfusions or other secondary causes.

Hereditary hemochromatosis

E83.110
Use when HFE mutation is confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hereditary Hemochromatosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E83.110.

Impact

Clinical: Misdiagnosis of hereditary hemochromatosis, Regulatory: Potential audit failure, Financial: Denied claims due to lack of documentation

Mitigation Strategy

Ensure genetic testing is ordered and results are documented, Educate staff on documentation requirements

Impact

Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate patient records

Mitigation Strategy

Ensure genetic testing results are documented before coding.

Impact

Lack of genetic test documentation can lead to audit issues.

Mitigation Strategy

Ensure all genetic test results are documented in the patient's record.

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 Hereditary Hemochromatosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hereditary Hemochromatosis

Use these documentation templates to ensure complete and accurate documentation for Hereditary Hemochromatosis. These templates include all required elements for proper coding and billing.

Diagnosis of hereditary hemochromatosis

Specialty: Hepatology

Required Elements

  • Family history of hemochromatosis
  • Genetic testing results
  • Iron studies
  • Symptoms of iron overload

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has high iron levels.
Good Documentation Example
Patient diagnosed with hereditary hemochromatosis confirmed by C282Y homozygous mutation. Iron studies show transferrin saturation of 85% and ferritin of 1200 ng/mL.
Explanation
The good example includes specific genetic and iron study results, confirming the diagnosis.

Need help with ICD-10 coding for Hereditary Hemochromatosis? Ask your questions below.

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