ICD-10 Coding for Iron Overload(E83.1)
Complete ICD-10-CM coding and documentation guide for Iron Overload. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Iron Overload
E83.1Primary Range
Disorders of iron metabolism
Primary range for coding iron overload conditions, including hereditary and transfusion-related causes.
Adverse effect of blood/plasma transfusion
Used when iron overload is due to repeated blood transfusions.
Long-term (current) use of anticoagulants
Applicable for patients on long-term iron chelation therapy.
Key Information: ICD-10 code for iron overload
Essential facts and insights about Iron Overload
Primary ICD-10-CM Code for iron overload
Decision Criteria
clinical Criteria
- Confirmed high serum ferritin and TSAT levels
documentation Criteria
- Documented etiology of iron overload
Applicable To
- Hereditary hemochromatosis
- Transfusion-related iron overload
Excludes
- Iron deficiency anemia (D50.9)
Clinical Validation Requirements
- Serum ferritin >300 ng/mL (men) or >200 ng/mL (women)
- Transferrin saturation ≥45%
Code-Specific Risks
- Incorrect use without documented lab evidence
- Failure to specify etiology
Coding Notes
- Ensure documentation specifies the cause of iron overload.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adverse effect of blood/plasma transfusion
Y44.6Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified disorder of iron metabolism
E83.10Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Iron Overload to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E83.1.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document the number and frequency of transfusions., Include transfusion history in patient records.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always document the etiology, such as hereditary or transfusion-related.
Impact
Claims for iron overload without supporting lab results.
Mitigation Strategy
Ensure all claims include documented lab 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 Iron Overload, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Iron Overload
Use these documentation templates to ensure complete and accurate documentation for Iron Overload. These templates include all required elements for proper coding and billing.
Iron Overload due to Hereditary Hemochromatosis
Specialty: HematologyRequired Elements
- Etiology statement
- Serum ferritin and TSAT levels
- Genetic testing results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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