Other sickle-cell disorders with crisis with other specified complication
ICD-10 D57.818 is a billable code used to indicate a diagnosis of other sickle-cell disorders with crisis with other specified complication.
D57.818 refers to other sickle-cell disorders characterized by crises accompanied by specified complications that do not fall under the more common classifications of sickle cell disease. These disorders can lead to hemolytic anemias, where red blood cells are destroyed faster than they can be produced, often resulting in symptoms such as fatigue, pallor, and jaundice. Enzyme deficiencies, such as glucose-6-phosphate dehydrogenase (G6PD) deficiency, can exacerbate hemolytic anemia during crises. Thalassemias, which are inherited blood disorders affecting hemoglobin production, may also present with similar complications. Genetic factors play a significant role in the manifestation of these disorders, as mutations in the HBB gene can lead to various sickle-cell phenotypes. The clinical management of these patients often involves addressing acute complications, such as pain crises, infections, and organ damage, which can complicate the overall treatment plan. Accurate coding is essential for proper reimbursement and to reflect the complexity of care provided.
Detailed patient history, lab results, and treatment plans must be documented.
Management of acute sickle-cell crises, chronic pain management, and transfusion therapy.
Ensure that all complications are documented to support the use of D57.818.
Thorough documentation of presenting symptoms, treatment provided, and follow-up care.
Patients presenting with acute pain crises or complications such as acute chest syndrome.
Accurate coding of the crisis and any complications is critical for reimbursement.
Used during a crisis to manage severe anemia.
Document the indication for transfusion and patient response.
Hematology specialists should ensure that the transfusion is justified based on lab results.
Common complications include acute chest syndrome, splenic sequestration, and vaso-occlusive crises, which can lead to severe pain and organ damage.
