Other sickle-cell disorders with dactylitis
ICD-10 D57.814 is a billable code used to indicate a diagnosis of other sickle-cell disorders with dactylitis.
D57.814 refers to other sickle-cell disorders characterized by dactylitis, which is the inflammation of the fingers or toes. Sickle-cell disorders are a group of inherited red blood cell disorders that result from mutations in the hemoglobin gene, leading to the production of abnormal hemoglobin known as hemoglobin S. This abnormality causes red blood cells to become rigid and sickle-shaped, leading to blockages in blood vessels, pain episodes, and various complications. Dactylitis is particularly common in children with sickle-cell disease and is often one of the first symptoms observed. It results from vaso-occlusive crises where sickled cells obstruct blood flow to the extremities, causing pain and swelling. The management of dactylitis includes hydration, pain management, and sometimes blood transfusions. Understanding the genetic factors, such as the presence of other hemoglobinopathies or thalassemias, is crucial in the diagnosis and treatment of patients with sickle-cell disorders. This code is essential for capturing the complexity of sickle-cell disease and its associated complications in clinical documentation and billing.
Detailed clinical history, laboratory results, and treatment plans must be documented.
Management of vaso-occlusive crises, blood transfusions, and hydroxyurea therapy.
Ensure that all complications, including dactylitis, are clearly documented to support coding.
Growth and development assessments, family history of sickle-cell disease, and vaccination status.
Routine check-ups for children with sickle-cell disease, management of pain episodes, and monitoring for dactylitis.
Documenting the onset and frequency of dactylitis episodes is crucial for accurate coding.
Used when a patient with sickle-cell disease requires a blood transfusion due to severe anemia or crisis.
Document the reason for transfusion, patient’s hemoglobin levels, and any complications.
Hematology specialists should ensure that all transfusion protocols are followed.
Dactylitis is often one of the first symptoms of sickle-cell disease in children and indicates vaso-occlusive crises, which can lead to further complications if not managed properly.
