Chronic Kidney Disease And Anemia: Understanding The ICD-10 Coding
What is Anemia in ESRD ICD-10?
Anemia in ESRD ICD-10 refers to the condition of anemia (low red blood cell count) in patients with end-stage renal disease (ESRD). ESRD is a serious medical condition where the kidneys are no longer able to function properly, leading to the accumulation of waste and fluid in the body. Anemia is a common complication of ESRD, as the kidneys are responsible for producing a hormone called erythropoietin, which stimulates the production of red blood cells in the bone marrow.
Code Information
The ICD-10 code for anemia in ESRD is D63.1. This code is used to classify and code diagnoses related to anemia in patients with end-stage renal disease. It is important to use the correct code when documenting and billing for the treatment of this condition.
Diagnostic Related Groups (MS-DRG)
In terms of MS-DRG, anemia in ESRD falls under DRG 682 – Renal Failure with Major Complications or Comorbidities. This DRG categorizes patients with end-stage renal disease who also have complications or comorbidities such as anemia.
Convert to ICD-9 Code
For those still using ICD-9 codes, the equivalent code for anemia in ESRD is 285.21 – Anemia in chronic kidney disease. It is important to use the appropriate code based on the coding system being used.
Code History
The ICD-10 code for anemia in ESRD was introduced in 2015 as part of the transition from ICD-9 to ICD-10 coding systems. This change was made to provide more specific and detailed codes for various medical conditions, including anemia in patients with end-stage renal disease.
Approximate Synonyms
Some approximate synonyms for anemia in ESRD include anemia of chronic kidney disease, renal anemia, and kidney failure anemia. These terms are often used interchangeably to describe the same condition of low red blood cell count in patients with end-stage renal disease.
Clinical Information
Anemia in ESRD is a common complication of end-stage renal disease, affecting a significant number of patients with this condition. The main cause of anemia in ESRD is the decreased production of erythropoietin by the kidneys, which leads to a decrease in red blood cell production in the bone marrow.
Causes
Aside from the decreased production of erythropoietin, other causes of anemia in ESRD include blood loss from frequent dialysis treatments, iron deficiency, vitamin B12 or folate deficiency, and inflammation. These factors can contribute to the development and worsening of anemia in patients with end-stage renal disease.
Symptoms
Common symptoms of anemia in ESRD include fatigue, weakness, shortness of breath, pale skin, dizziness, and cold hands and feet. These symptoms are a result of the decreased oxygen-carrying capacity of the blood due to the low red blood cell count.
Diagnosis
Diagnosing anemia in ESRD involves a series of tests, including blood tests to measure hemoglobin and red blood cell count, iron studies to assess iron levels in the body, and vitamin B12 and folate levels. Additional tests may be done to determine the underlying cause of anemia in the patient.
Treatment
The main treatment for anemia in ESRD is the administration of erythropoiesis-stimulating agents (ESAs) to stimulate the production of red blood cells in the bone marrow. Iron supplementation may also be given to address iron deficiency. In some cases, blood transfusions may be necessary to increase the red blood cell count quickly.
Conclusion
Anemia in ESRD is a common complication that can have a significant impact on the quality of life and overall health of patients with end-stage renal disease. Proper diagnosis and treatment of this condition are essential to improve symptoms and prevent complications associated with low red blood cell count. Healthcare providers should be aware of the ICD-10 code for anemia in ESRD and use it accurately when documenting and billing for this condition.
FAQs
1. What is the ICD-10 code for anemia in ESRD?
