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Z86.2
ICD-10-CM
History of Iron Deficiency Anemia

Find comprehensive information on diagnosing a history of iron deficiency anemia. This resource covers relevant healthcare, clinical documentation, and medical coding terms including ICD-10 codes for iron deficiency anemia, past iron deficiency anemia, differential diagnosis of anemia, anemia in pregnancy, iron studies interpretation, microcytic anemia workup, and treatment response for iron deficiency. Learn about documenting a history of iron deficiency, coding resolved iron deficiency anemia, and best practices for accurate medical recordkeeping. Improve your understanding of iron deficiency anemia diagnosis and management with this clinically focused guide.

Also known as

Resolved Iron Deficiency Anemia
Past Iron Deficiency Anemia

Diagnosis Snapshot

Key Facts
  • Definition : Condition resulting from prolonged insufficient iron for red blood cell production.
  • Clinical Signs : Fatigue, weakness, pale skin, shortness of breath, brittle nails, pica.
  • Common Settings : Primary care, OBGYN, gastroenterology, hematology.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z86.2 Coding
D50-D53

Nutritional anemias

Covers various nutritional deficiencies causing anemia.

D60-D64

Aplastic and other anemias

Includes anemias not classified elsewhere, some related to iron.

Z86-Z99

Personal history of medical conditions

Codes indicating a past medical condition, including anemia.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the iron deficiency anemia currently present?

  • Yes

    Do NOT code as history of. Code the active anemia (e.g., D50.x).

  • No

    Is there any documented residual effect?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Iron deficiency anemia
Thalassemia minor
Sideroblastic anemia

Documentation Best Practices

Documentation Checklist
  • Document anemia symptoms (fatigue, pallor, shortness of breath)
  • Record iron studies (serum iron, ferritin, TIBC)
  • Detail dietary habits and iron intake assessment
  • Document any relevant medical history (GI bleeds, menstruation)
  • Specify anemia duration, severity, and treatment response

Coding and Audit Risks

Common Risks
  • Code Specificity

    Coding anemia without specifying iron deficiency (e.g., using D64.9 instead of D50.9) leads to inaccurate data and reimbursement.

  • History vs. Active

    Incorrectly coding history of iron deficiency as active (D50.0-D50.8) can impact quality metrics and care plans.

  • Lacking Documentation

    Insufficient documentation supporting the history of iron deficiency anemia diagnosis makes coding validation and audit defense difficult.

Mitigation Tips

Best Practices
  • Document specific iron studies, ferritin levels for accurate coding (ICD-10-CM D50.9).
  • CDI: Query physician for details of anemia onset, duration, & symptoms for complete record.
  • Ensure medical necessity for iron replacement therapy aligns with payer guidelines for compliance.
  • Code Z86.01 for personal history of iron deficiency anemia for compliant secondary diagnoses.
  • Use SNOMED CT 428670006 for standardized history of iron deficiency anemia documentation.

Clinical Decision Support

Checklist
  • Confirm low ferritin AND low hemoglobin/hematocrit.
  • Review dietary history for iron intake adequacy.
  • Assess for blood loss (menses, GI bleed).
  • Consider malabsorption if dietary intake adequate.

Reimbursement and Quality Metrics

Impact Summary
  • Iron deficiency anemia diagnosis reimbursement impacts coding accuracy, impacting hospital case mix index and revenue cycle management.
  • Accurate ICD-10-CM coding for history of iron deficiency anemia (Z86.0) maximizes appropriate reimbursement.
  • Miscoding iron deficiency anemia can lead to claim denials, impacting hospital revenue and financial performance.
  • Proper coding supports quality reporting metrics related to anemia management and patient outcomes.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code D50.9 for unspecified IDA
  • Document IDA duration/severity
  • Query physician if cause unknown
  • Check for past B12 deficiency
  • Consider Z87.0 for IDA history

Documentation Templates

Patient presents with a history of iron deficiency anemia (IDA).  The patient reports previous episodes of fatigue, weakness, pallor, and shortness of breath, consistent with iron deficiency anemia symptoms.  Past medical history includes documented low hemoglobin, low hematocrit, low ferritin, low mean corpuscular volume (MCV), and low mean corpuscular hemoglobin (MCH), confirming the diagnosis of iron deficiency.  Previous iron deficiency anemia treatment included oral iron supplementation, with documented improvement in hemoglobin and ferritin levels.  The patient denies any history of blood loss, including menorrhagia, gastrointestinal bleeding, or other sources of bleeding.  Current symptoms include mild fatigue.  Physical examination reveals mild pallor.  No other significant findings were noted.  Assessment: History of iron deficiency anemia, currently stable.  Plan:  Recommend complete blood count (CBC) with differential, iron studies (serum iron, ferritin, transferrin saturation, total iron-binding capacity), and reticulocyte count to assess current iron status.  Counseling provided on dietary sources of iron and the importance of compliance with any prescribed iron supplementation.  Patient education regarding iron deficiency anemia causes, symptoms, and management provided.  Follow-up scheduled to review lab results and adjust treatment as needed.  Differential diagnosis considered included thalassemia and anemia of chronic disease, but previous laboratory findings and response to iron therapy support the diagnosis of iron deficiency anemia.  ICD-10 code D50.9, Iron deficiency anemia, unspecified, is appropriate for this encounter.
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