Sickle-cell disease without crisis
ICD-10 D57.1 is a billable code used to indicate a diagnosis of sickle-cell disease without crisis.
Sickle-cell disease (SCD) is a genetic blood disorder characterized by the presence of abnormal hemoglobin, known as hemoglobin S (HbS), which causes red blood cells to assume a rigid, sickle shape. This abnormality leads to hemolytic anemia, where the lifespan of red blood cells is significantly reduced, resulting in chronic anemia. Patients with SCD often experience episodes of pain known as sickle cell crises due to vaso-occlusive events, but the code D57.1 specifically refers to the condition when the patient is not experiencing such a crisis. The disease is inherited in an autosomal recessive pattern, meaning that both parents must carry the sickle cell trait for a child to be affected. SCD can lead to various complications, including increased risk of infections, acute chest syndrome, and organ damage due to chronic hemolysis and vaso-occlusion. Management typically involves regular monitoring, pain management, and preventive measures such as vaccinations and hydroxyurea therapy to reduce the frequency of crises and improve overall health outcomes.
Detailed patient history, lab results showing hemoglobin levels, and evidence of chronic management.
Routine follow-up visits for anemia management, monitoring for complications, and treatment adjustments.
Ensure documentation reflects the absence of crisis and any ongoing treatment plans.
Genetic testing results, family history of sickle cell disease, and counseling notes.
Genetic counseling sessions for families with a history of sickle cell disease.
Accurate coding of genetic counseling sessions and the implications for family planning.
Used for routine blood tests to monitor hemoglobin levels in patients with sickle-cell disease.
Document the reason for blood draw and any relevant clinical history.
Hematology specialists should ensure that lab results are clearly linked to the diagnosis.
Sickle cell disease is a genetic disorder characterized by the presence of two copies of the sickle cell gene, leading to significant health issues. Sickle cell trait occurs when an individual has one copy of the sickle cell gene and one normal gene, typically resulting in no symptoms but the ability to pass the gene to offspring.
