ICD Code E61.1

ICD code E61.1 is a classification used to indicate a diagnosis of iron deficiency. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the identification of diseases and health conditions. Iron deficiency, as indicated by this code, refers to a condition where there is a lack of adequate iron in the body, which can lead to anemia and other health issues. Proper documentation of this code is crucial for accurate billing and reimbursement processes in healthcare settings.

1. Fatigue and Weakness: Persistent tiredness and lack of energy that cannot be attributed to other causes.

2. Pallor: Noticeable paleness of the skin, often observed in the face, inner eyelids, or nails.

3. Shortness of Breath: Difficulty breathing or feeling breathless, especially during physical activity.

4. Dizziness or Lightheadedness: Experiencing frequent episodes of dizziness or feeling faint.

5. Cold Hands and Feet: Experiencing a persistent sensation of coldness in the extremities.

6. Brittle Nails: Nails that are weak, thin, or break easily.

7. Headaches: Frequent or severe headaches that are not explained by other conditions.

8. Inflammation or Soreness of the Tongue: Swelling or pain in the tongue, also known as glossitis.

9. Unusual Cravings: A desire to eat non-nutritive substances, such as ice, dirt, or starch, known as pica.

10. Poor Appetite: A noticeable decrease in appetite or interest in eating.

11. Restless Legs Syndrome: An uncomfortable sensation in the legs with an urge to move them, often worsening at night.

12. Cognitive Impairments: Difficulty concentrating, poor memory, or other cognitive issues.

These criteria and symptoms should be evaluated in conjunction with laboratory tests, such as a complete blood count (CBC) and serum ferritin levels, to confirm the diagnosis.

For the ICD code E61.1, which pertains to iron deficiency, the relevant CPT codes that may be applicable for treatment or management include:

1. CPT 85025 - Complete blood count (CBC) with automated differential white blood cell count. This test can help assess the severity of iron deficiency.

2. CPT 85027 - Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC, and platelet count). This is another option for evaluating blood components related to iron deficiency.

3. CPT 36415 - Collection of venous blood by venipuncture. This code is used for the blood draw necessary for testing.

4. CPT 84466 - Assay of transferrin. This test measures the level of transferrin, a protein that binds iron in the blood, and can be used to assess iron status.

5. CPT 82728 - Assay of ferritin. Ferritin is a blood protein that contains iron, and this test helps determine the body's iron stores.

6. CPT 86580 - Skin test; tuberculosis, intradermal. While not directly related to iron deficiency, this test might be performed to rule out other conditions that could cause similar symptoms.

7. CPT 96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour. This code may be used if intravenous iron therapy is administered.

8. CPT 96366 - Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour. This is used for extended IV iron therapy sessions.

These CPT codes are typically used in the context of diagnosing, monitoring, or treating iron deficiency as indicated by the ICD code E61.1. It's important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical scenario.

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