Anemia in chronic diseases classified elsewhere
Chapter 3:Diseases of the blood and blood-forming organs
ICD-10 D63 is a billable code used to indicate a diagnosis of anemia in chronic diseases classified elsewhere.
Anemia in chronic diseases classified elsewhere (D63) refers to anemia that arises as a consequence of chronic diseases, such as chronic kidney disease, malignancies, autoimmune disorders, and chronic infections. This type of anemia is typically characterized by a reduction in red blood cell production due to the underlying chronic condition, which can lead to a decrease in erythropoietin production or the presence of inflammatory cytokines that inhibit erythropoiesis. Aplastic anemia, a form of bone marrow failure, is a specific type of anemia that can also be classified under this code when it is secondary to chronic diseases. The diagnosis of anemia in chronic diseases requires careful evaluation of the patient's medical history, laboratory results, and the identification of the underlying chronic condition. Treatment often focuses on managing the primary disease while addressing the anemia, which may include iron supplementation, erythropoiesis-stimulating agents, or blood transfusions. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's health status.
Detailed lab results, patient history, and treatment plans must be documented.
Patients with chronic kidney disease presenting with anemia, or patients with malignancies experiencing anemia due to bone marrow infiltration.
Ensure that the relationship between the chronic disease and anemia is clearly established in the documentation.
Comprehensive assessment of chronic conditions and their impact on anemia.
Management of patients with multiple chronic diseases leading to anemia.
Documentation should reflect the complexity of managing chronic diseases and their complications.
Used to evaluate anemia in patients with chronic diseases.
Document the reason for the CBC and any relevant findings.
Hematologists may require additional tests to assess the type of anemia.
Use D63 when the anemia is specifically linked to a chronic disease classified elsewhere, ensuring that the chronic condition is documented in the patient's record.
