ICD 10 Coding Alert

Choose among 3 options when the code set changes. When sickle cell anemia results in crisis, your coding needs to identify whether the physician diagnosed acute chest syndrome or splenic sequestration. Here's how the method of reporting the crisis differs between ICD-9-CM and ICD-10-CM. ICD-9-CM Code 282.62, Hb-SS disease with crisis ICD-10-CM Codes D57.00, Hb-SS disease with crisis, unspecified D57.01, Hb-SS disease with acute chest syndrome D57.02, Hb-SS disease with splenic sequestration Diagnosis: Hb-SS is a sickle cell disease in which the patient has inherited a sickle cell gene ("S") from each parent. Sickle cell anemia is another name for this disease. ICD-9-CM coding rules: ICD-9-CM has one code for Hb-SS disease with crisis. It is appropriate for Hb-SS disease with vaso-occlusive pain and sickle-cell crisis NOS (not otherwise specified). Under ICD-9-CM, you use a separate code to indicate the type of crisis: 289.52, Splenic sequestration 517.3, Acute chest syndrome. [...]