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ICD-10 Coding for Hyperferritinemia(R77.8, E83.11)

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

Also known as:

Elevated FerritinHigh Ferritin Levels

Related ICD-10 Code Ranges

Complete code families applicable to Hyperferritinemia

R70-R79Primary Range

Abnormal findings on examination of blood, without diagnosis

This range includes codes for abnormal plasma protein levels, including hyperferritinemia.

Disorders of iron metabolism

This range includes codes for iron overload disorders, which may be related to hyperferritinemia.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R77.8Other specified abnormalities of plasma proteinsUse when ferritin is elevated without evidence of iron overload.
  • Ferritin >1.5x ULN without iron overload
  • Documentation of underlying condition if present
E83.11Hereditary hemochromatosisUse when genetic testing confirms hereditary hemochromatosis.
  • Ferritin >300 μg/L
  • TSAT ≥45%
  • HFE mutation confirmation

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 hyperferritinemia

Essential facts and insights about Hyperferritinemia

The ICD-10 code for hyperferritinemia is R77.8, used for elevated ferritin levels without iron overload.

Primary ICD-10-CM Codes for hyperferritinemia

Other specified abnormalities of plasma proteins
Billable Code

Decision Criteria

clinical Criteria

  • Ferritin level >1.5x ULN without iron overload

documentation Criteria

  • Link elevated ferritin to underlying condition if present

Applicable To

  • Hyperferritinemia

Excludes

Clinical Validation Requirements

  • Ferritin >1.5x ULN without iron overload
  • Documentation of underlying condition if present

Code-Specific Risks

  • Incorrectly used as primary diagnosis when underlying condition exists

Coding Notes

  • Ensure documentation specifies the cause of hyperferritinemia.

Ancillary Codes

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

Sepsis, unspecified organism

A41.9
Use as primary code if hyperferritinemia is secondary to sepsis.

Differential Codes

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

Hereditary hemochromatosis

E83.11
Use when genetic testing confirms HFE mutation and TSAT ≥45%.

Other specified abnormalities of plasma proteins

R77.8
Use R77.8 when elevated ferritin is not due to iron overload.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hyperferritinemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R77.8.

Impact

Clinical: Lack of clarity on the cause of hyperferritinemia., Regulatory: Potential for coding errors and audits., Financial: Missed opportunities for appropriate reimbursement.

Mitigation Strategy

Always document the underlying cause if known., Include relevant lab results and genetic testing.

Impact

Reimbursement: Potential underpayment due to incorrect HCC capture., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use E83.11 when genetic testing confirms hemochromatosis.

Impact

Using R77.8 as a primary diagnosis when an underlying condition is present.

Mitigation Strategy

Educate coders on proper sequencing rules.

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

Documentation Templates for Hyperferritinemia

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

Hyperferritinemia in a septic patient

Specialty: Internal Medicine

Required Elements

  • Ferritin level
  • Underlying condition
  • TSAT percentage
  • Genetic testing if applicable

Example Documentation

Patient presents with septic shock (A41.9) and hyperferritinemia (R77.8). Ferritin 800 μg/L, TSAT 30%.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Elevated ferritin, monitor.
Good Documentation Example
Ferritin 800 μg/L secondary to septic shock (A41.9), TSAT 30%.
Explanation
The good example links ferritin elevation to the underlying condition, providing context.

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

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