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Iron deficiency

ICD10CM code

Name of the Condition

  • Common Name: Iron Deficiency
  • Medical Term: E61.1

Summary

Iron deficiency is a condition characterized by a lack of adequate iron to meet the body's needs. Iron is essential for producing hemoglobin, a protein that allows red blood cells to carry oxygen throughout the body. Without sufficient iron, one might experience fatigue and other health issues.

Causes

  • Inadequate dietary intake of iron
  • Increased iron needs during pregnancy or growth spurts
  • Blood loss from menstruation, gastrointestinal bleeding, or surgery
  • Malabsorption disorders like celiac disease or inflammatory bowel disease

Risk Factors

  • Women of childbearing age
  • Pregnant women
  • Infants and children
  • Vegetarians or vegans
  • Individuals with chronic blood loss

Symptoms

  • Fatigue and weakness
  • Pale skin
  • Shortness of breath
  • Dizziness or lightheadedness
  • Brittle nails
  • Cold hands and feet

Diagnosis

  • Complete blood count (CBC)
  • Serum ferritin and iron tests
  • Total iron-binding capacity (TIBC)
  • Reticulocyte count
  • Stool test for occult blood

Treatment Options

  • Oral iron supplements to replenish iron stores
  • Dietary changes to include more iron-rich foods such as red meat, beans, and fortified cereals
  • Intravenous iron therapy for severe deficiency or those who cannot tolerate oral iron

Prognosis and Follow-Up

  • With appropriate treatment, iron deficiency is typically reversible.
  • Regular monitoring and follow-up blood tests to ensure iron levels are restored and maintained.

Complications

  • Severe anemia
  • Heart problems, such as tachycardia or heart failure
  • Pregnancy complications, including preterm delivery

Lifestyle & Prevention

  • Eating a balanced diet rich in iron
  • Vitamin C intake to enhance iron absorption
  • Routine screening for high-risk groups

When to Seek Professional Help

  • Persistent fatigue and weakness
  • Unexplained paleness
  • Symptoms of dizziness or shortness of breath

Additional Resources

  • American Society of Hematology (hematology.org)
  • Iron Disorder Institute (irondisorders.org)
  • National Heart, Lung, and Blood Institute (nhlbi.nih.gov)

Tips for Medical Coders

  • Verify the correct code for iron deficiency as E61.1.
  • Consider documenting any underlying causes, like chronic blood loss.
  • Be aware of any specific modifiers that may be applicable based on the patient's condition details.

Medical Policies and Guidelines for Iron deficiency

Related policies from health plans