What is the ICD 10 Code for Anemia?

Touseef Riaz

July 3, 2023

icd 10 code for anemia

Anemia is a common medical condition that affects millions of people worldwide. It is a condition that happens when your body lacks hemoglobin or red blood cells, leading to various symptoms, such as fatigue, weakness, and shortness of breath. Medical professionals use the International Classification of Diseases, Tenth Revision (ICD-10) coding system to diagnose and treat anemia. In this blog, we will explore the ICD-10 code for anemia and provide important information about the coding guidelines for this condition.

icd 10 code for anemia

The ICD-10 code for anemia is D64. This code falls under the Diseases of the Blood and Blood-forming Organs category and certain Disorders involving the Immune Mechanism (D50-D89). The D64 code covers all types of anemia, including hemolytic anemia, sickle cell disease, and iron deficiency anemia. The D64 code indicates a diagnosis of anemia, and medical professionals need to assign the correct code to ensure accurate billing and reimbursement.

When coding for anemia, there are specific guidelines that medical professionals must follow. The first step is to determine the anemia type. Anemia comes in various forms, such as iron-deficiency anemia, megaloblastic anemia, and hemolytic anemia. Each type of anemia has its unique ICD-10 code, and it is essential to use the correct code to ensure accurate billing and reimbursement.

In addition to identifying the type of anemia, medical professionals must also document the severity of the anemia. The hemoglobin level in the blood measures the severity of anemia. Red blood cells include a protein called hemoglobin, which transports oxygen to the body’s tissues. Therefore, a low hemoglobin level indicates anemia. The severity of anemia is classified as mild, moderate, or severe, and medical professionals must document the hemoglobin level to assign the correct ICD-10 code.

Medical professionals must also document any underlying conditions contributing to the anemia. For example, if a gastrointestinal bleed causes anemia, the medical professional must document the location and severity of the bleeding.

Proper documentation is crucial when coding for anemia. Medical professionals must document all relevant information, including the type and severity of the anemia, any underlying conditions, and the hemoglobin level. Failure to properly document this information can lead to inaccurate coding and potential reimbursement issues.

What is the code for acute blood loss anemia?

The ICD-10 code for acute blood loss anemia is D62.0. This code falls under the “Anemia in Diseases Classified Elsewhere” category and is used when a patient experiences acute blood loss resulting in anemia. This kind of anemia happens when there is rapid and considerable blood loss, which causes a reduction in the body’s supply of red blood cells.

Some common causes of acute blood loss anemia include trauma, surgery, gastrointestinal bleeding, and childbirth complications. In addition, acute blood loss anemia symptoms may include dizziness, weakness, weariness, pallor, shortness of breath, and an accelerated pulse.

When using the ICD-10 code D62.0 for acute blood loss anemia, it is essential to specify the underlying cause. This can be done by adding codes to the diagnosis, such as codes for the specific condition or injury that caused the acute blood loss.

Proper coding of acute blood loss anemia is essential for accurate medical billing and reimbursement. Therefore, medical coders and billers must be familiar with the ICD-10 code set and its use guidelines to correctly code and bill for medical services related to acute blood loss anemia.

What is the code for anemia of Chronic Kidney disease?

The ICD-10 code for anemia of chronic kidney disease is D63.1. Anemia of chronic kidney disease is a common complication of chronic kidney disease (CKD). It occurs when the kidneys are not functioning properly, leading to a deficiency of erythropoietin, a hormone that stimulates the production of red blood cells in the bone marrow. The resulting anemia can cause fatigue, weakness, and other symptoms.

Healthcare providers and insurance companies use ICD-10 codes to classify and code medical conditions. For example, code D63.1 specifically refers to anemia in chronic kidney disease, with the fourth character indicating the severity of the anemia (e.g., mild, moderate, severe). Proper coding of anemia of chronic kidney disease is essential for accurate documentation and billing, as well as for tracking and monitoring trends in the prevalence and treatment of this condition.

What is ICD 10 code for a history of anemia?

The ICD-10 code for a history of anemia is Z86.718. This code is used when a patient has a previous diagnosis of anemia or has a documented history of anemia but is not currently experiencing the condition. Healthcare providers need to document a patient’s history of anemia to ensure proper diagnosis, treatment, and ongoing care.

The “Z” codes in the ICD-10 system indicate a patient’s personal or family history of a particular condition. In this case, Z86.718 is used explicitly for a history of anemia, while other Z codes may be used for different medical conditions. Therefore, it is essential for healthcare providers to accurately document a patient’s medical history to ensure proper coding and billing for services rendered.

What is the ICD-10 code for anemia in pregnancy?

The ICD-10 code for anemia in pregnancy is O99.0. This code is used to classify various types of anemia during pregnancy, including iron-deficiency anemia, folate-deficiency anemia, and vitamin B12 deficiency anemia. Anemia in pregnancy is a common condition that affects many women and can lead to several complications if left untreated. These complications include preterm delivery, low birth weight, and postpartum depression.

The code O99.0 is used to report anemia that occurs during any trimester of pregnancy, as well as during childbirth and the postpartum period. In addition to reporting the presence of anemia, the code also allows for reporting any associated complications or underlying conditions contributing to the anemia, such as a bleeding disorder or a chronic illness.

What is the code for thrombocytopenia?

The ICD-10 code for thrombocytopenia is D69.6. This code indicates a low platelet count in the blood, which can lead to an increased risk of bleeding or bruising. Various factors, including certain medications, infections, autoimmune disorders, and bone marrow disorders, can cause thrombocytopenia. The severity of thrombocytopenia can vary, and treatment depends on the root reason and the patient’s symptoms. 

What is the code for severe anemia ICD-10?

The ICD-10 code for severe anemia is D64.9, a non-specific code for anemia, unspecified. However, if the severity of the anemia is known, it can be further specified using the following codes:

D64.0 – Anemia due to iron deficiency

D64.1 – Vitamin B12 deficiency anemia

D64.2 – Folate deficiency anemia

D64.3 – Hemolytic anemia, unspecified

D64.81 – Anemia due to antineoplastic chemotherapy

D64.89 – Other specified anemias

D64.81 – Anemia due to antineoplastic chemotherapy

These codes can be combined with the D64.9 code to provide a more specific diagnosis of severe anemia.

What is ICD 10 code for autoimmune hemolytic anemia?

The ICD-10 code for autoimmune hemolytic anemia is D59.1. This code falls under the category of “hemolytic anemias and other anemias” and explicitly denotes the presence of an autoimmune mechanism causing red blood cell destruction and subsequent anemia. It is important to note that additional codes within this category may be used to specify the type of hemolytic anemia, such as D58.0 for hereditary spherocytosis or D58.9 for other hemoglobinopathies.

What is the ICD-10 code for fatigue?

The ICD-10 code for fatigue is R53.

What is ICD-10 chronic anemia, unspecified?

The ICD-10 code for chronic anemia, unspecified, is D64.9. This code is used when the specific type of chronic anemia is unknown or specified. It is important to note that this code should only be used when the physician has ruled out other specific causes of chronic anemia. The D64.9 code can be used for chronic anemia due to inadequate iron intake, chronic blood loss, and other chronic diseases. The severity of the anemia can also vary from mild to severe. 

How low are hemoglobin ICD-10 codes?

ICD-10 codes for low hemoglobin levels are classified under the broader category of anemia. The specific code used will depend on the type and severity of the anemia and any underlying causes. For example, a code for anemia due to blood loss (D62) may be used for a patient with low hemoglobin levels due to recent surgery or injury. In contrast, a code for sickle-cell anemia (D57) may be used for a patient with low hemoglobin levels due to a genetic condition. Other codes for anemia related to low hemoglobin levels include iron-deficiency anemia (D50), megaloblastic anemia (D51), and aplastic anemia (D61), among others. It is essential for healthcare providers to accurately code for anemia and its underlying causes to ensure proper diagnosis, treatment, and reimbursement for services rendered.

What is the ICD 10 code for macrocytic anemia?

The ICD-10 code for macrocytic anemia is D51.0. This code falls under the category of “Nutritional anemias,” which are caused by a deficiency of certain nutrients in the body, such as vitamin B12 and folate. Red blood cells that are excessively big are a symptom of macrocytic anemia, which can result in a lower number of red blood cells in the body and a decrease in hemoglobin levels. Various factors, including nutritional deficiencies, medication side effects, alcoholism, and certain medical conditions such as liver disease and hypothyroidism, can cause it. The treatment of macrocytic anemia depends on the underlying cause and may involve supplementation with vitamins or changes in medication or lifestyle habits. 

What is the microcytic anemia ICD 10 code?

The ICD-10 code for microcytic anemia is D50.0.

What is the ICD 10 code for sickle cell anemia?

The ICD-10 code for sickle cell anemia is D57.0.

What is the ICD10 code for chronic anemia?

The ICD-10 code for chronic anemia is D64.9. This code describes a chronic form of anemia marked by a reduction in hemoglobin or red blood cell counts in the blood. The code documents the condition in medical records and for billing purposes. It is important to note that many types of chronic anemia may require a different approach to diagnosis and treatment. Consequently, collaborating with a healthcare professional to ascertain the underlying cause of chronic anemia and develop a personalized treatment plan is essential.

What is the code for normocytic anemia?

The ICD-10 code for normocytic anemia is D63.1.

What is the ICD 10 code for iron deficiency anemia?

The ICD-10 code for iron deficiency anemia is D50.9.

Conclusion

Accurate coding and billing of anemia diagnoses are crucial for healthcare providers and patients. ICD-10 codes provide a standardized method of coding and billing for anemia, allowing for proper reimbursement and effective patient care management. With the constantly evolving coding system, healthcare providers must stay current and ensure accurate coding and billing practices.

At U Control Billing, we understand the importance of accurate medical billing and coding. Our team of experienced medical billing professionals is dedicated to providing comprehensive and reliable medical billing services for anemia and other medical conditions. Our collaboration allows healthcare practitioners to concentrate on delivering quality patient care while we handle complex medical billing and coding tasks.

With our expertise and state-of-the-art technology, we ensure that our clients receive optimal reimbursement and increased revenue. In addition, our streamlined processes and customized solutions ensure that each client receives individualized care and exceptional service. By outsourcing medical billing services to U Control Billing, healthcare providers can save time, increase revenue, and improve patient satisfaction.

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