Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria
ICD-10 D51.1 is a billable code used to indicate a diagnosis of vitamin b12 deficiency anemia due to selective vitamin b12 malabsorption with proteinuria.
Vitamin B12 deficiency anemia is a type of macrocytic anemia characterized by a decrease in red blood cell production due to insufficient vitamin B12. This specific code, D51.1, indicates that the deficiency is due to selective malabsorption of vitamin B12, which can occur in conditions such as pernicious anemia or intestinal disorders. The presence of proteinuria suggests renal involvement, which may complicate the clinical picture. Patients may present with symptoms such as fatigue, pallor, glossitis, and neurological manifestations due to the role of vitamin B12 in nerve function. Diagnosis typically involves serum vitamin B12 levels, complete blood count (CBC), and possibly a Schilling test to assess absorption. Treatment usually includes vitamin B12 supplementation, either orally or via intramuscular injections, depending on the severity of the deficiency and the underlying cause of malabsorption.
Detailed lab results, including vitamin B12 levels and CBC.
Patients presenting with fatigue, pallor, and neurological symptoms.
Ensure documentation reflects the cause of malabsorption and any renal implications.
Assessment of proteinuria and its clinical implications.
Patients with chronic kidney disease presenting with anemia.
Document any renal function tests and their correlation with anemia.
Used to evaluate anemia and monitor treatment response.
Document the reason for the CBC and any relevant findings.
Hematology specialists should ensure all relevant lab results are included.
Proteinuria indicates renal involvement, which may complicate the anemia and requires careful monitoring and management.
