Sickle-cell/Hb-C disease with crisis with other specified complication
ICD-10 D57.218 is a billable code used to indicate a diagnosis of sickle-cell/hb-c disease with crisis with other specified complication.
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 become rigid, sticky, and shaped like sickles or crescent moons. This abnormal shape leads to various complications, including vaso-occlusive crises, hemolytic anemia, and increased susceptibility to infections. Hb-C disease is another form of hemoglobinopathy where hemoglobin C (HbC) is present. When a patient has both HbS and HbC, they may experience a range of complications, particularly during crises. The crisis can be triggered by factors such as dehydration, infection, or extreme temperatures. The designation of 'with other specified complication' indicates that the patient is experiencing additional complications beyond the typical manifestations of sickle-cell disease, which may include acute chest syndrome, splenic sequestration, or stroke. Accurate coding of D57.218 requires thorough documentation of the patient's clinical status, the specific complications encountered, and the management strategies employed during the crisis.
Detailed clinical notes on the patient's hemoglobin levels, crisis triggers, and management strategies.
Management of vaso-occlusive crises, acute chest syndrome, and chronic pain management.
Documentation must clearly outline the relationship between sickle-cell disease and any complications to support the use of D57.218.
Immediate assessment notes, including vital signs, lab results, and treatment provided during a crisis.
Patients presenting with acute pain crises, signs of infection, or acute chest syndrome.
Timely documentation is crucial to capture the acute nature of the crisis and any interventions performed.
Used for obtaining blood samples during a crisis for lab testing.
Document the reason for blood draw and any relevant clinical findings.
Ensure that the blood collection is linked to the management of sickle-cell disease.
Common complications include vaso-occlusive crises, acute chest syndrome, splenic sequestration, stroke, and increased risk of infections.
