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ICD-10 Guide
ICD-10 CodesD53.2

D53.2

Billable

Scorbutic anemia

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

Code Description

ICD-10 D53.2 is a billable code used to indicate a diagnosis of scorbutic anemia.

Key Diagnostic Point:

Scorbutic anemia is a type of anemia that arises due to a deficiency of vitamin C (ascorbic acid), which is essential for the synthesis of collagen and the maintenance of healthy blood vessels. This condition is characterized by symptoms such as fatigue, weakness, and pallor, which are common in various forms of anemia. In scorbutic anemia, the lack of vitamin C leads to impaired iron absorption and utilization, resulting in a secondary iron deficiency anemia. Clinically, patients may present with additional symptoms such as gum bleeding, joint pain, and skin changes, which are indicative of scurvy. Diagnosis is typically confirmed through clinical evaluation and laboratory tests that reveal low hemoglobin levels and low serum vitamin C levels. Treatment involves dietary modification to include vitamin C-rich foods or supplementation, which can rapidly improve symptoms and restore normal hemoglobin levels. It is crucial for healthcare providers to recognize this condition, especially in populations at risk, such as those with limited access to fresh fruits and vegetables or those with malabsorption syndromes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of anemia (iron deficiency vs. vitamin deficiency)
  • Understanding nutritional deficiencies and their impact on anemia
  • Recognizing the clinical presentation of scorbutic anemia versus other anemias
  • Documentation of dietary history and nutritional status

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to document the clinical symptoms associated with scorbutic anemia
  • Misclassification of anemia type
  • Lack of laboratory results supporting the diagnosis

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and nutritional history are essential.

Common Clinical Scenarios

Patients presenting with fatigue, poor wound healing, or skin changes.

Billing Considerations

Ensure that vitamin C levels are documented and that dietary recommendations are clear.

Hematology

Documentation Requirements

Comprehensive blood work results and clinical evaluations.

Common Clinical Scenarios

Patients with unexplained anemia or those with a history of malnutrition.

Billing Considerations

Differentiation from other types of anemia is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use D53.2 When
  • According to ICD
  • 10 coding guidelines, scorbutic anemia should be coded when there is clear documentation of vitamin C deficiency leading to anemia
  • It is important to include any relevant laboratory findings and clinical symptoms in the documentation to support the diagnosis

Exclusion Criteria

Do NOT use D53.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC)

Clinical Scenario

Used to evaluate anemia in patients suspected of having scorbutic anemia.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists should ensure that all relevant lab results are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nutritional anemias, including scorbutic anemia, which helps in better tracking and management of these conditions in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional anemias, including scorbutic anemia, which helps in better tracking and management of these conditions in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional anemias, including scorbutic anemia, which helps in better tracking and management of these conditions in clinical practice.

Resources

Clinical References

  • •
    CDC Vitamin C Fact Sheet

Coding & Billing References

  • •
    CDC Vitamin C Fact Sheet

Frequently Asked Questions

What is the primary cause of scorbutic anemia?

Scorbutic anemia is primarily caused by a deficiency in vitamin C, which affects iron absorption and collagen synthesis.