ICD-10 Coding for Elevated Hemoglobin and Hematocrit(D45, D75.1, R71.8)
Complete ICD-10-CM coding and documentation guide for Elevated Hemoglobin and Hematocrit. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Hemoglobin and Hematocrit
D45-D47Primary Range
Myeloproliferative diseases
Includes primary polycythemia vera and related disorders.
Other and unspecified diseases of blood and blood-forming organs
Covers secondary polycythemia and other related conditions.
Abnormal findings on examination of blood, without diagnosis
Includes unspecified abnormal findings such as elevated HGB/HCT without a confirmed diagnosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D45 | Polycythemia vera | Use when polycythemia vera is confirmed by clinical and laboratory findings. |
|
| D75.1 | Secondary polycythemia | Use when polycythemia is secondary to another condition like COPD. |
|
| R71.8 | Other specified abnormal findings of blood chemistry | Use as a temporary code until a specific diagnosis is confirmed. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for elevated hemoglobin
Essential facts and insights about Elevated Hemoglobin and Hematocrit
Primary ICD-10-CM Codes for elevated physician's initials
Decision Criteria
clinical Criteria
- JAK2 mutation positive and low EPO levels.
Applicable To
- Primary polycythemia
Excludes
- Secondary polycythemia (D75.1)
Clinical Validation Requirements
- JAK2 mutation positive
- Low serum erythropoietin levels
- Splenomegaly
Code-Specific Risks
- Misclassification if JAK2 mutation is not confirmed.
Coding Notes
- Ensure JAK2 testing is documented to support diagnosis.
D75.1 - Secondary polycythemia
Use when polycythemia is secondary to another condition like COPD.
Applicable To
- Polycythemia due to chronic hypoxia
Excludes
- Polycythemia vera (D45)
Clinical Validation Requirements
- Elevated erythropoietin levels
- Chronic hypoxia evidence
Coding Notes
Document the underlying cause clearly to support coding.
R71.8 - Other specified abnormal findings of blood chemistry
Use as a temporary code until a specific diagnosis is confirmed.
Applicable To
- Unspecified elevated hemoglobin or hematocrit
Excludes
- Specific diagnoses like polycythemia vera (D45)
Clinical Validation Requirements
- Initial elevated HGB/HCT without confirmed diagnosis
Coding Notes
Use for initial findings pending further investigation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Hemoglobin and Hematocrit to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D45.
Impact
Clinical: Mismanagement of underlying condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Thorough clinical evaluation, Document all relevant findings
Impact
Reimbursement: Potential denial of claims due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Poor data quality affecting patient records and care.
Mitigation Strategy
Ensure follow-up testing to confirm specific diagnosis.
Impact
Risk of audits due to insufficient documentation supporting diagnosis.
Mitigation Strategy
Ensure complete documentation of JAK2 mutation and EPO levels.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Elevated Hemoglobin and Hematocrit, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Hemoglobin and Hematocrit
Use these documentation templates to ensure complete and accurate documentation for Elevated Hemoglobin and Hematocrit. These templates include all required elements for proper coding and billing.
Polycythemia vera diagnosis
Specialty: HematologyRequired Elements
- Patient symptoms
- Laboratory findings
- JAK2 mutation status
- EPO levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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