Sickle-cell thalassemia, unspecified, with cerebral vascular involvement
ICD-10 D57.413 is a billable code used to indicate a diagnosis of sickle-cell thalassemia, unspecified, with cerebral vascular involvement.
Sickle-cell thalassemia is a complex hemolytic anemia resulting from the combination of sickle cell disease and thalassemia, leading to a range of clinical manifestations. This specific code indicates that the patient has an unspecified type of sickle-cell thalassemia and is experiencing cerebral vascular involvement, which may manifest as strokes or transient ischemic attacks due to the sickling of red blood cells obstructing cerebral blood flow. The condition is characterized by chronic hemolysis, anemia, and potential complications such as vaso-occlusive crises, infections, and organ damage. Genetic factors play a significant role, as both sickle cell disease and thalassemia are inherited disorders. The management of patients with this condition often requires a multidisciplinary approach, including hematology, neurology, and primary care, to address the various complications and ensure comprehensive care.
Detailed history of hemolytic anemia, genetic testing results, and treatment plans.
Management of vaso-occlusive crises, blood transfusions, and hydroxyurea therapy.
Ensure accurate documentation of laboratory results and response to treatments.
Neurological assessments, imaging studies, and documentation of any cerebrovascular events.
Evaluation of stroke symptoms, management of neurological deficits, and follow-up care.
Document the relationship between sickle-cell thalassemia and neurological complications.
Used for obtaining blood samples for hemoglobin electrophoresis.
Document the reason for blood draw and any relevant clinical history.
Ensure that the specialty performing the procedure is noted.
Cerebral vascular involvement indicates that the sickle-shaped cells are obstructing blood flow to the brain, which can lead to serious complications such as stroke. It is crucial for management and treatment planning.
