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Other iron deficiency anemias
ICD10CM code
#### Name of the Condition
- Other iron deficiency anemias (ICD-10 Code: D50.8)
#### Summary
Other iron deficiency anemias encompass a group of anemias caused by insufficient iron levels in the body, which are not classified under the primary types of iron deficiency anemia. These conditions lead to a reduced production of hemoglobin, causing fatigue and weakness.
#### Causes
- Chronic blood loss due to gastrointestinal bleeding, heavy menstruation, or peptic ulcers.
- Insufficient dietary intake of iron.
- Poor absorption of iron from the intestine, which may occur in conditions like celiac disease or after bariatric surgery.
#### Risk Factors
- Women of childbearing age due to menstruation.
- Infants and children going through rapid growth spurts.
- Individuals with chronic conditions like kidney disease or cancer.
- Vegetarians and vegans who may not consume enough iron-rich foods.
#### Symptoms
- Persistent fatigue and weakness.
- Pale skin and brittle nails.
- Shortness of breath and dizziness.
- Cold hands and feet.
#### Diagnosis
- Complete blood count (CBC) showing low hemoglobin and hematocrit levels.
- Serum ferritin and transferrin saturation tests to assess stored iron levels.
- Peripheral blood smear to evaluate the size and color of red blood cells.
#### Treatment Options
- Oral iron supplements to replenish iron stores in the body.
- Intravenous iron therapy for severe cases or if oral iron is not tolerated.
- Dietary modifications to include more iron-rich foods, such as red meat, beans, and fortified cereals.
#### Prognosis and Follow-Up
- With proper treatment, the outlook is generally good, and symptoms improve within a few weeks.
- Regular follow-up with blood tests to monitor hemoglobin and iron levels is essential to ensure effective management.
#### Complications
- Increased risk of infections due to weakened immunity.
- Severe fatigue affecting daily activities and quality of life.
- Potential heart problems if anemia is not treated adequately.
#### Lifestyle & Prevention
- Consuming a balanced diet with adequate iron intake from varied sources.
- Addressing underlying causes of blood loss, such as treating ulcers or menstrual irregularities.
- Enhancing iron absorption by combining iron-rich foods with vitamin C-rich foods.
#### When to Seek Professional Help
- Persistent fatigue that does not improve with rest.
- Unexplained weakness or dizziness.
- Symptoms of blood loss, such as black stools or heavy menstrual periods.
#### Additional Resources
- [American Society of Hematology](https://www.hematology.org)
- [National Heart, Lung, and Blood Institute](https://www.nhlbi.nih.gov)
- [Iron Disorders Institute](https://www.irondisorders.org)
#### Tips for Medical Coders
- Verify accurate documentation for coding D50.8 by confirming the presence of iron deficiency anemia not specified under other specific conditions.
- Common coding errors include misclassification with other types of anemia; ensure specificity in records.