New ICD1-10 Code for Sickle-cell Vaso-occlusive Disease
Since, their are scenarios with admission of patient with diagnosis of sickle-cell pain. But their is no documentation of as vaso-occlusive pain, and their was no direct ICD-10 code for this diagnosis in the codebook.
The code titles and index entries for this condition are changing for FY2024 to put the term “vaso-occlusive” in parentheses as a non-essential modifier. That means it will no longer be required in the diagnostic statement to allow code assignment as being “in crisis.”
The first time you run across this problem after October 1, 2023, give thanks that Kay Piper, RHIA, CDIP, CCS, and the ACDIS Regulatory Committee team had your back. They requested this change to the CDC on behalf of all of us. Thanks, Kay and team!
There is another helpful addition to the ICD-10-CM code set for sickle-cell dactylitis. This is a specific type of vaso-occlusive pain crisis in which the sickled red blood cells block the blood flow in the fingers and/or toes. This causes swelling, redness and extreme pain. This can happen to someone of any age, but when it occurs in infants or toddlers that are non-verbal, the swelling and redness may be the first clue that the patient is in crisis or even that they have sickle-cell disease. A code for sickle-cell dactylitis has been added to the subcategories for each type of sickle-cell disease for use with discharges occurring October 1, 2023 and later.
Below are some of the new ICD 10 codes for Sickel-cell with dactylitis will be effectively from 1st October 2023.
D57.214 Sickle-cell/Hb-C disease with dactylitis [New Code] 10/1/2023
D57.414 Sickle-cell thalassemia, unspecified, with dactylitis [New Code] [Unspecified Code] 10/1/2023
D57.434 Sickle-cell thalassemia beta zero with dactylitis [New Code] 10/1/2023
D57.454 Sickle-cell thalassemia beta plus with dactylitis [New Code] 10/1/2023
D57.814 Other sickle-cell disorders with dactylitis [New Code] 10/1/2023
Their are a list of new ICD-10 codes added for the 2024 year codebook which has been already shared. But, now as we are coming closer towards 1st October 2023 we need to revise all these new ICD 10 codes before using them in future.
Reference: https://libmaneducation.com/sickle-cell-vaso-occlusive-disease/