ICD-10 Coding for Sickle Cell Crisis(D57.00, D57.211)
Complete ICD-10-CM coding and documentation guide for Sickle Cell Crisis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sickle Cell Crisis
D57.0-D57.9Primary Range
Sickle-cell disorders
This range includes all sickle-cell disorders, with specific codes for crisis and non-crisis states.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D57.00 | Sickle-cell anemia with crisis, unspecified | Use when a sickle-cell crisis is documented but not specified as acute chest syndrome or splenic sequestration. |
|
| D57.211 | Sickle-cell anemia with acute chest syndrome | Use when acute chest syndrome is documented during a sickle-cell crisis. |
|
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 sickle cell crisis
Essential facts and insights about Sickle Cell Crisis
Primary ICD-10-CM Codes for sickle cell crisis
Decision Criteria
documentation Criteria
- Document specific symptoms and lab results indicating a crisis.
Applicable To
- Vaso-occlusive crisis
Excludes
- Sickle-cell trait (D57.3)
Clinical Validation Requirements
- Pain in extremities
- Elevated reticulocyte count
- Increased lactate dehydrogenase (LDH)
Code-Specific Risks
- Misclassification if crisis type is not specified
Coding Notes
- Ensure crisis is documented; otherwise, use D57.1.
D57.211 - Sickle-cell anemia with acute chest syndrome
Use when acute chest syndrome is documented during a sickle-cell crisis.
Applicable To
- Acute chest syndrome
Excludes
- Pneumonia (J18.9)
Clinical Validation Requirements
- Hypoxemia
- Pulmonary infiltrates on chest X-ray
Coding Notes
Ensure documentation of acute chest syndrome specifics.
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 Sickle Cell Crisis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D57.00.
Impact
Clinical: Misrepresentation of patient status., Regulatory: Potential audit issues., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Regularly update patient status, Document resolution in discharge notes
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Confirm crisis status with the provider and use D57.00 or D57.211 as appropriate.
Impact
Inadequate documentation of crisis specifics can lead to audit issues.
Mitigation Strategy
Ensure detailed documentation of crisis type and symptoms.
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 Sickle Cell Crisis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sickle Cell Crisis
Use these documentation templates to ensure complete and accurate documentation for Sickle Cell Crisis. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Sickle Cell Crisis
Specialty: Emergency MedicineRequired Elements
- Pain assessment
- Vital signs
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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