Other Hemolytic Anemia's: Difference between revisions

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{{DX tag | Hematology | | Other Hemolytic Anemia's | OTHER HEMOLYTIC ANEMIA'S | 21400 | No | 0 | | | | }}''~~Notes:~~ ''

{{DX tag | Hematology | Medical Problem| Other Hemolytic Anemia's | OTHER HEMOLYTIC ANEMIA'S | 21400 - Other Hemolytic Anemia's | No | 0 | CC & Med | Current | | }}

Is the Abnormal and accelerated '''"DESTRUCTION"''' of red cells.

[http://en.wikipedia.org/wiki/Hemolytic_anemia Hemolytic_anemia on Wikipedia]

[[Category:Anemia (old)]]

~~[[Category: Anemia]]~~

==Code bleed if known==

==~~Discussion~~==

*If a pt is clearly BLEEDING from somewhere, the bleeding source is the code you would use. ie GI bleed or post op bleed or hemorrhagic shock, etc. In this case you do '''NOT''' use the anemia codes as it is clearly evident why they may require a blood transfusion.

If NOT bleeding go to: [[:Category: Anemia | Anemia]]

* I have a question for all How do you guys code blood transfusions do you code under here or do you code under iron deficiency anemia reviewing anemias iron deficiency anemia can be due to bleeding lesions of the GI tract/colon polyps/or colorectal cancer this is under microcytic But acute blood loss can be under normocytic anemias? Thanks I just want to be on the same page as everyone else Shirley

* If a pt is clearly ~~bleeding~~ from somewhere, the bleeding source is the code you would use. ie GI bleed or post op bleed or hemorrhagic shock, etc. In this case you do '''~~not~~''' use the anemia codes as it is clearly evident why they may require a blood transfusion. ~~The~~ anemia ~~codes are used~~ when a pt is not ~~bleeding~~ but ~~requires~~ a ~~transfusion because their Hgb or Hct are low~~. ~~Usually I use iron~~ deficiency anemia as the ~~code in this event~~ unless it is clearly a ~~documented hemolytic~~ anemia or ~~B12 anemia~~. --[[User:LKolesar|LKolesar]] 14:36, ~~10 January~~ 2012 (CST)

==Inconsistency in coding==

Thanks Laura this is different from how I have been coding transfusions if we didnt know what type of anemia it was but required a transfusion we coded it under hemolytic other 214

*In the code book on page 40 it quotes when to code Other Hemolytic Anemisa as a DX : Transfusions Required, Start of new Medication for Anemia and Actively Pursing Reasons for Anemia (Due to any other condition not listed below and requires treatment)--[[User:PStein|PStein]] 14:06, 2012 February 15 (CST)

**The code book is not written very well but the statements you refer to are written under the heading "anemias" and are not specific to hemolytic anemias. Hemolytic anemias result from the premature destruction of Red cells and are diagnosed by a blood smear to see the breakdown and often the pt has jaundice and increased bilirubin. Iron deficiency anemia is the most common anemia and is the one that we need to use if the pt just has a low hct and requires a transfusion unless it is clearly documented to be a different type of anemia. We should no longer be using the old code book as a reference as much of it is poorly written or poorly organized and it is not being kept up to date. --[[User:LKolesar|LKolesar]] 15:16, 2012 February 15 (CST)

***Thanks for this clarification Laura. I know that at the Vic 'other hemolitic' has been used in the past for coding blood transfusions not due to active bleeding. How does this impact the data collected in the past? (JKublick, 17 feb, 2012, the Vic would like to know)

*Because of inconsistent coding for anemia's when anyone asks for data related to anemia in our database, we would provide them with a list of patient coded with anemia and it will be up to the researcher to audit the chart to look deeper for actual cause. Will have to check with ICU10 if we will still be as detailed or have a more broad category for anemia.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:20, 2012 March 13 (CDT)

@@ Line 1: / Line 1: @@
-{{DX tag | Hematology |  | Other Hemolytic Anemia's | OTHER HEMOLYTIC ANEMIA'S | 21400 | No | 0 |  |  |  | }}''Notes: ''
+{{PreICD10 dx | NewDxArticle = Hemolytic anemia, acquired, NOS}}
+{{DX tag | Hematology | Medical Problem| Other Hemolytic Anemia's | OTHER HEMOLYTIC ANEMIA'S | 21400 - Other Hemolytic Anemia's  | No | 0 | CC & Med | Current |  | }}
+Is the Abnormal and accelerated '''"DESTRUCTION"''' of red cells.
+[http://en.wikipedia.org/wiki/Hemolytic_anemia Hemolytic_anemia on Wikipedia]
+[[Category:Anemia (old)]]
-[[Category: Anemia]]
+==Code bleed if known==
-==Discussion==
+*If a pt is clearly BLEEDING from somewhere, the bleeding source is the code you would use.  ie GI bleed or post op bleed or hemorrhagic shock, etc.   In this case you do '''NOT''' use the anemia codes as it is clearly evident why they may require a blood transfusion.
+If NOT bleeding go to: [[:Category: Anemia | Anemia]]
-* I have a question for all How do you guys code blood transfusions do you code under here or do you code under iron deficiency anemia reviewing anemias iron deficiency anemia can be due to bleeding lesions of the GI tract/colon polyps/or colorectal cancer this is under microcytic  But acute blood loss can be under normocytic anemias?  Thanks I just want to be on the same page as everyone else Shirley
-* If a pt is clearly bleeding from somewhere, the bleeding source is the code you would use.  ie GI bleed or post op bleed or hemorrhagic shock, etc.   In this case you do '''not''' use the anemia codes as it is clearly evident why they may require a blood transfusion.  The anemia codes are used when a pt is not bleeding but requires a transfusion because their Hgb or Hct are low.  Usually I use iron deficiency anemia as the code in this event unless it is clearly a documented hemolytic anemia or B12 anemia.  --[[User:LKolesar|LKolesar]] 14:36, 10 January 2012 (CST)
+==Inconsistency in coding==
+Thanks Laura this is different from how I have been coding transfusions if we didnt know what type of anemia it was but required a transfusion we coded it under hemolytic other 214
+*In the code book on page 40 it quotes when to code Other Hemolytic Anemisa as a DX : Transfusions Required, Start of new Medication for Anemia and Actively Pursing Reasons for Anemia (Due to any other condition not listed below and requires treatment)--[[User:PStein|PStein]] 14:06, 2012 February 15 (CST)
+**The code book is not written very well but the statements you refer to are written under the heading "anemias" and are not specific to hemolytic anemias.  Hemolytic anemias result from the premature destruction of Red cells and are diagnosed by a blood smear to see the breakdown and often the pt has jaundice and increased bilirubin.  Iron deficiency anemia is the most common anemia and is the one that we need to use if the pt just has a low hct and requires a transfusion unless it is clearly documented to be a different type  of anemia. We should no longer be using the old code book as a reference as much of it is poorly written or poorly organized and it is not being kept up to date. --[[User:LKolesar|LKolesar]] 15:16, 2012 February 15 (CST)
+***Thanks for this clarification Laura.  I know that at the Vic 'other hemolitic' has been used in the past for coding blood transfusions not due to active bleeding.  How does this impact the data collected in the past? (JKublick, 17 feb, 2012, the Vic would like to know)
+*Because of inconsistent coding for anemia's when anyone asks for data related to anemia in our database, we would provide them with a list of patient coded with anemia and it will be up to the researcher to audit the chart to look deeper for actual cause.  Will have to check with ICU10 if we will still be as detailed or have a more broad category for anemia.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:20, 2012 March 13 (CDT)