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E61.1
ICD-10-CM
Low Ferritin

Understanding Low Ferritin: Find information on ferritin blood test, iron deficiency anemia, causes of low ferritin, symptoms, diagnosis, and treatment. Explore resources for healthcare professionals, including clinical documentation tips, ICD-10 codes for iron deficiency, and medical coding guidelines related to low ferritin levels. Learn about managing iron deficiency and improving patient outcomes.

Also known as

Iron Deficiency without Anemia
Isolated Low Ferritin

Diagnosis Snapshot

Key Facts
  • Definition : Low iron stores in the body, often indicating iron deficiency.
  • Clinical Signs : Fatigue, weakness, pale skin, shortness of breath, dizziness, headaches.
  • Common Settings : Primary care, hematology, gastroenterology, womens health.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC E61.1 Coding
D50-D53

Nutritional anemias

Covers anemias due to iron deficiency and other dietary deficiencies.

D64.0-D64.9

Other anemias

Includes anemias not classified elsewhere, which might relate to low ferritin.

R53.81

Other malaise and fatigue

May be used if low ferritin presents with fatigue as a primary symptom.

Code-Specific Guidance

Decision Tree for

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

Is low ferritin due to iron deficiency?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Low Ferritin
Iron Deficiency Anemia
Iron Deficiency

Documentation Best Practices

Documentation Checklist
  • Document symptoms (e.g., fatigue, weakness, pallor)
  • Serum ferritin level < reference range (specify units)
  • Iron studies (e.g., serum iron, TIBC, transferrin saturation)
  • Underlying cause investigation documented (if known)
  • Treatment plan including iron supplementation (if applicable)

Coding and Audit Risks

Common Risks
  • Unspecified Anemia Coding

    Coding low ferritin as unspecified anemia (D64.9) without documenting the specific type if known, leading to inaccurate severity reflection and reimbursement.

  • Iron Deficiency Miscoding

    Incorrectly coding iron deficiency anemia (D50.9) when other causes of low ferritin exist, impacting quality metrics and potential treatment plans.

  • Lacking Clinical Validation

    Coding low ferritin without proper clinical indicators or supporting documentation, resulting in claims denials and compliance issues.

Mitigation Tips

Best Practices
  • Document ferritin levels, units, and date/time consistently for accurate ICD-10-CM coding (e.g., D50.9).
  • Query physician for underlying cause of low ferritin for specific diagnosis coding and CDI.
  • Ensure medical necessity of iron supplementation is documented clearly for compliance and appropriate billing.
  • Monitor and document patient response to iron therapy for improved outcomes tracking and HCC coding.
  • Educate patients on dietary iron sources and compliance with therapy for optimal iron levels.

Clinical Decision Support

Checklist
  • Check serum ferritin level: Is it <30 ng/mL (female) or <20 ng/mL (male)?
  • Review CBC: Evaluate Hgb, MCV, and other RBC indices for microcytic anemia.
  • Assess iron studies: Check transferrin saturation and total iron binding capacity.
  • Investigate potential causes: Consider blood loss, dietary deficiency, or malabsorption.
  • Document symptoms: Fatigue, weakness, pallor, shortness of breath. Consider differential diagnoses.

Reimbursement and Quality Metrics

Impact Summary
  • Low Ferritin reimbursement impacted by accurate coding of iron deficiency anemia (IDA) severity and etiology.
  • Coding quality metrics: Specificity in documenting IDA type (e.g., related to blood loss vs malabsorption) improves reporting.
  • Hospital reporting: Accurate low ferritin diagnosis coding impacts anemia management quality metrics and resource allocation.
  • Iron studies billing compliance ensures appropriate reimbursement for lab tests and associated treatments.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code underlying cause, not just low ferritin
  • Document serum ferritin level with units
  • Consider iron deficiency anemia codes if applicable
  • Specificity improves coding accuracy for ferritin
  • Query physician if etiology is unclear

Documentation Templates

Patient presents with symptoms suggestive of low ferritin, including fatigue, weakness, pallor, shortness of breath, dizziness, and brittle nails.  Review of systems reveals complaints of headaches, cold intolerance, and restless leg syndrome.  Patient history includes heavy menstrual bleeding in premenopausal females, gastrointestinal bleeding (possible peptic ulcer disease, colon cancer to be ruled out), dietary insufficiency (vegetarianism, veganism),  and malabsorption syndromes (celiac disease, Crohn's disease).  Physical examination reveals pale conjunctiva and koilonychia.  Laboratory results show a serum ferritin level below the normal range, indicating iron deficiency.  Iron panel reveals low serum iron, elevated total iron binding capacity (TIBC), and low transferrin saturation.  Complete blood count (CBC) demonstrates microcytic hypochromic anemia with low hemoglobin and hematocrit.  Differential diagnosis includes anemia of chronic disease, thalassemia, and sideroblastic anemia.  Further investigations may include fecal occult blood test, colonoscopy, esophagogastroduodenoscopy (EGD), and evaluation for celiac disease and other malabsorption syndromes as clinically indicated.  Treatment plan includes oral iron supplementation ferrous sulfate or other iron preparations.  Patient education provided on iron-rich foods and dietary modifications.  Follow-up scheduled to monitor ferritin levels, hemoglobin, and hematocrit, and to assess response to therapy.  ICD-10 code K50.9 (Iron deficiency anemia, unspecified) and ICD-10 code R53.83 (Weakness) may be applicable depending on individual presentation.  CPT codes for laboratory tests include 85018 (Complete blood count), 84175 (Serum iron studies), and 82270 (Fecal occult blood test).  Referral to hematology or gastroenterology may be considered depending on underlying cause and clinical course.