ICD-10 Coding for Folate Deficiency Anemia(D52.0, D52.1, D52.8, D52.9)
Complete ICD-10-CM coding and documentation guide for Folate Deficiency Anemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Folate Deficiency Anemia
D52Primary Range
Folate deficiency anemia
This range includes all ICD-10 codes related to folate deficiency anemia, covering various etiologies such as dietary, drug-induced, and unspecified causes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D52.0 | Dietary folate deficiency anemia | Use when folate deficiency is due to inadequate dietary intake. |
|
| D52.1 | Drug-induced folate deficiency anemia | Use when folate deficiency is linked to medication use. |
|
| D52.8 | Other specified folate deficiency anemias | Use when folate deficiency is due to conditions like celiac disease. |
|
| D52.9 | Folate deficiency anemia, unspecified | Use when the cause of folate deficiency is not specified. |
|
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 folate deficiency anemia
Essential facts and insights about Folate Deficiency Anemia
Primary ICD-10-CM Codes for folate
Decision Criteria
clinical Criteria
- Documented poor dietary intake of folate-rich foods
Applicable To
- Malnutrition-related folate deficiency
Excludes
- Drug-induced folate deficiency (D52.1)
Clinical Validation Requirements
- Serum folate <4 ng/mL
- MCV >100 fL
- Exclusion of drug-induced causes
Code-Specific Risks
- Misclassification if dietary cause is not documented
Coding Notes
- Ensure dietary cause is documented to avoid audit risks.
D52.1 - Drug-induced folate deficiency anemia
Use when folate deficiency is linked to medication use.
Applicable To
- Folate deficiency due to methotrexate
Excludes
- Dietary folate deficiency (D52.0)
Clinical Validation Requirements
- Serum folate <4 ng/mL
- Documented use of folate-depleting drugs
Coding Notes
Document drug name and start date for compliance.
D52.8 - Other specified folate deficiency anemias
Use when folate deficiency is due to conditions like celiac disease.
Applicable To
- Folate deficiency due to malabsorption
Excludes
- Dietary and drug-induced causes
Clinical Validation Requirements
- Serum folate <4 ng/mL
- Documented malabsorption condition
Coding Notes
Document underlying condition causing malabsorption.
D52.9 - Folate deficiency anemia, unspecified
Use when the cause of folate deficiency is not specified.
Applicable To
- Folate deficiency anemia NOS
Excludes
- Specific causes like dietary or drug-induced
Clinical Validation Requirements
- Serum folate <4 ng/mL
- Lack of specific etiology documentation
Coding Notes
Ensure thorough workup is documented to justify unspecified use.
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 Folate Deficiency Anemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D52.0.
Impact
Clinical: Leads to improper treatment plans., Regulatory: Increases risk of audit failures., Financial: May result in denied claims or reduced reimbursement.
Mitigation Strategy
Ensure thorough patient history and documentation., Use specific ICD-10 codes when cause is known.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Increases audit risk due to lack of specificity., Data Quality: Impacts accuracy of clinical data and reporting.
Mitigation Strategy
Select the appropriate specific code (e.g., D52.0, D52.1) based on documentation.
Impact
High audit risk when using D52.9 without documented workup.
Mitigation Strategy
Document thorough workup and specify cause when possible.
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 Folate Deficiency Anemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Folate Deficiency Anemia
Use these documentation templates to ensure complete and accurate documentation for Folate Deficiency Anemia. These templates include all required elements for proper coding and billing.
Folate deficiency due to drug use
Specialty: OncologyRequired Elements
- Drug name and dosage
- Serum folate levels
- MCV values
- Exclusion of B12 deficiency
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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