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ICD-10 Guide
ICD-10 CodesD52.8

D52.8

Billable

Other folate deficiency anemias

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D52.8 is a billable code used to indicate a diagnosis of other folate deficiency anemias.

Key Diagnostic Point:

Other folate deficiency anemias (ICD-10 code D52.8) refer to a group of anemias characterized by inadequate levels of folate, which is essential for DNA synthesis and red blood cell production. This condition can arise from various factors, including poor dietary intake, malabsorption syndromes, certain medications, and increased physiological demands such as pregnancy. Unlike iron deficiency anemia (D50) and vitamin B12 deficiency anemia (D51), which have their specific codes, D52.8 encompasses other forms of folate deficiency that do not fall under these categories. Clinically, patients may present with symptoms such as fatigue, pallor, shortness of breath, and in severe cases, neurological symptoms. Diagnosis typically involves blood tests to measure hemoglobin levels, red blood cell indices, and serum folate levels. Treatment primarily focuses on dietary modifications to increase folate intake, supplementation with folic acid, and addressing any underlying causes of malabsorption or increased demand.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of anemia (iron, B12, folate)
  • Identifying underlying causes of folate deficiency
  • Variability in clinical presentation
  • Need for comprehensive lab results interpretation

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to document laboratory results
  • Misclassification of anemia type
  • Lack of follow-up on treatment efficacy

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with fatigue and pallor, requiring differential diagnosis of anemia types.

Billing Considerations

Ensure comprehensive documentation of all laboratory findings and dietary assessments.

Nutrition

Documentation Requirements

Nutritional assessments, dietary intake records, and recommendations.

Common Clinical Scenarios

Patients with dietary restrictions or malabsorption syndromes.

Billing Considerations

Document specific dietary interventions and patient compliance.

Coding Guidelines

Inclusion Criteria

Use D52.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the type of anemia and its underlying causes
  • Include any relevant lab results and patient history to support the diagnosis

Exclusion Criteria

Do NOT use D52.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate anemia and assess red blood cell indices.

Documentation Requirements

Document the reason for the CBC and any relevant patient history.

Specialty Considerations

Hematology specialists should ensure all lab results are included in the patient's record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of folate deficiency anemias, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of folate deficiency anemias, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of folate deficiency anemias, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    CDC - Folate Deficiency

Coding & Billing References

  • •
    CDC - Folate Deficiency

Frequently Asked Questions

What are the common causes of folate deficiency anemia?

Common causes include inadequate dietary intake, malabsorption syndromes, certain medications, and increased physiological demands such as pregnancy.