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D64.9
ICD-10-CM
Mild Anemia

Understand mild anemia diagnosis, symptoms, and treatment. Find information on hemoglobin levels, iron deficiency, fatigue, and dietary recommendations. Explore clinical documentation tips, ICD-10 codes (D50), medical coding guidelines, and healthcare resources for accurate anemia diagnosis management.

Also known as

Mild Iron Deficiency Anemia
Mild Anemia of Chronic Disease

Diagnosis Snapshot

Key Facts
  • Definition : Slightly low red blood cell count, reducing oxygen delivery.
  • Clinical Signs : Fatigue, weakness, pale skin, shortness of breath, dizziness.
  • Common Settings : Primary care, urgent care, telehealth consultations.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D64.9 Coding
D50-D53

Nutritional anemias

Anemias caused by dietary deficiencies.

D60-D64

Aplastic and other anemias

Anemias due to bone marrow failure or other causes.

D68-D69

Hemolytic anemias

Anemias characterized by increased red blood cell destruction.

Code-Specific Guidance

Decision Tree for

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

Is the anemia due to blood loss (acute or chronic)?

  • Yes

    Acute blood loss?

  • No

    Is it due to nutritional deficiency?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Mild Anemia
Iron Deficiency Anemia
Thalassemia Minor

Documentation Best Practices

Documentation Checklist
  • Document Hgb/Hct levels confirming mild anemia diagnosis.
  • Specify anemia type (e.g., iron deficiency, chronic disease).
  • Record any related symptoms (e.g., fatigue, pallor).
  • Document relevant medical history, family history, medications.
  • Note treatment plan, including follow-up and monitoring.

Coding and Audit Risks

Common Risks
  • Unspecified Anemia Coding

    Coding mild anemia without specifying the underlying cause (e.g., iron deficiency) leads to inaccurate reimbursement and quality reporting.

  • Overcoding Anemia Severity

    Documenting mild anemia as moderate or severe for higher reimbursement is fraudulent and triggers audits.

  • Lacking Anemia Documentation

    Insufficient clinical evidence to support the diagnosis of mild anemia can lead to denials and compliance issues.

Mitigation Tips

Best Practices
  • Code anemia severity accurately (ICD-10-CM D64.9)
  • Document dietary iron intake for CDI, review B12/folate levels
  • Ensure compliance: Z codes for nutritional deficiencies (Z72.1)
  • Consider reticulocyte count for anemia etiology, document cause
  • Patient education: Iron-rich diet, compliance follow-up, HCC coding

Clinical Decision Support

Checklist
  • Hb level 10-11.9 g/dL (female) or 11-12.9 g/dL (male)?
  • Rule out other causes of anemia (ICD-10 codes reviewed)?
  • Document symptoms (fatigue, weakness, pallor) if present.
  • Consider iron studies (serum ferritin, transferrin saturation).

Reimbursement and Quality Metrics

Impact Summary
  • Mild Anemia reimbursement hinges on accurate coding (ICD-10-CM D64.9) impacting hospital DRG assignment and payment.
  • Coding validation and physician documentation specificity for mild anemia are crucial for proper medical billing and claim denial prevention.
  • Quality metrics for mild anemia like patient blood count monitoring and follow-up impact hospital value-based care payments.
  • Accurate anemia diagnosis coding affects hospital quality reporting data on patient outcomes and population health management.

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-D64 first, then specify anemia
  • Document Hgb/Hct for D64.9
  • Query physician if etiology unclear
  • Review iron studies for iron deficiency
  • Consider comorbid conditions in coding

Documentation Templates

Patient presents with symptoms suggestive of mild anemia, including fatigue, pallor, and mild shortness of breath with exertion.  Onset of symptoms reported as gradual over the past few weeks.  Review of systems reveals no significant findings other than the aforementioned symptoms.  Physical examination confirms pallor of the conjunctiva and mild tachycardia.  No splenomegaly or lymphadenopathy detected.  Complete blood count (CBC) reveals a hemoglobin level of 10.5 g/dL (reference range: 12.0-15.5 g/dL) confirming the diagnosis of mild anemia.  Mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) indices are within normal limits, suggesting a normocytic normochromic anemia.  Iron studies, including serum iron, ferritin, and total iron-binding capacity (TIBC), ordered to investigate the etiology of the anemia.  Patient education provided regarding dietary iron intake and iron supplementation.  Follow-up appointment scheduled in four weeks to review iron study results and assess response to initial management.  Differential diagnoses include iron deficiency anemia, anemia of chronic disease, and thalassemia trait.  ICD-10 code D64.9 (Anemia, unspecified) assigned pending further investigation.  Medical billing codes will be finalized upon completion of diagnostic workup.
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