Find essential information on hemochromatosis diagnosis, including clinical documentation tips, ICD-10-CM coding (E83.1), HFE gene testing, iron overload symptoms, transferrin saturation, serum ferritin levels, and treatment options like phlebotomy. Learn about hereditary hemochromatosis, genetic testing, and best practices for healthcare professionals managing this iron disorder. This resource provides valuable insights for accurate medical coding and comprehensive patient care related to hemochromatosis.
Also known as
Hemochromatosis
Disorder of iron metabolism causing excess iron absorption.
Hereditary hemochromatosis
Genetically inherited iron overload disorder.
Other specified iron overload
Iron overload not classified elsewhere, including secondary hemochromatosis.
Diseases of liver
Liver conditions that can be associated with or caused by iron overload, such as cirrhosis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hemochromatosis hereditary/primary?
Yes
Is it due to HFE gene?
No
Is it secondary to another condition?
When to use each related code
| Description |
|---|
| Iron overload disorder |
| Secondary iron overload |
| Juvenile hemochromatosis |
Coding hemochromatosis without specifying the type (primary/secondary/hereditary) leads to inaccurate reporting and potential claim denials. Use specific ICD-10-CM codes like E83.11.
Incorrectly coding manifestations of hemochromatosis (diabetes, cirrhosis) as the primary diagnosis instead of the underlying hemochromatosis. Ensure E83.1 codes are primary when applicable.
Coding both hemochromatosis and iron overload (E83.1 and E70.0) when only hemochromatosis is diagnosed. Iron overload is a feature of the condition, not a separate diagnosis.
Patient presents with symptoms suggestive of hemochromatosis, including fatigue, joint pain, abdominal pain, and skin darkening. Relevant medical history includes elevated liver enzymes (AST, ALT), elevated serum iron, elevated transferrin saturation, and elevated ferritin. Family history of hemochromatosis was also noted. Physical examination revealed hepatomegaly and skin hyperpigmentation. Genetic testing for HFE gene mutations (C282Y and H63D) was ordered to confirm the diagnosis of hereditary hemochromatosis. Differential diagnosis considered iron overload, liver disease, and other metabolic disorders. Initial diagnosis is consistent with hemochromatosis based on clinical presentation, laboratory findings, and risk factors. Treatment plan includes therapeutic phlebotomy to reduce iron overload, monitoring of iron levels (serum iron, ferritin, transferrin saturation), and management of complications such as liver disease, diabetes, and cardiomyopathy. Patient education provided on hemochromatosis, its management, and the importance of adherence to the treatment plan. ICD-10 code E83.1 (Hereditary hemochromatosis) is assigned. Follow-up appointment scheduled to monitor treatment response and assess for potential complications. Patient advised to maintain a low-iron diet and avoid iron supplements. Further evaluation and management may be required based on the patient's response to therapy and the development of any complications.