Other Hemolytic Anemia's: Difference between revisions

Revision as of 14:06, 2012 February 15

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Hemolytic anemia, acquired, NOS

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Category/Organ System:	Category: Hematology (old)
Type:	Medical Problem
Main Diagnosis:	Other Hemolytic Anemia's
Sub Diagnosis:	OTHER HEMOLYTIC ANEMIA'S
Diagnosis Code:	21400
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:
Status:

Notes:

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. --LKolesar 14:36, 10 January 2012 (CST)
- 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)--PStein 14:06, 2012 February 15 (CST)

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 * 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)
 ** 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)