D52.0
Dietary folate deficiency anemia
Clinical Classification Guidelines
Inclusion Terms
- Nutritional megaloblastic anemia
Medical Intelligence & Overview
Dietary folate deficiency anemia, also known as nutritional megaloblastic anemia, occurs when the body lacks enough folate, a vital B-vitamin, to produce healthy red blood cells. This deficiency leads to the production of abnormally large and immature blood cells, causing anemia. Recognizing the causes, symptoms, and treatment options is essential for managing this condition effectively.
Causes & Symptoms
Clinical Causes: Inadequate dietary intake of foods rich in folate, such as leafy greens, fruits, and fortified grains. Malabsorption issues due to conditions like celiac disease or Crohn's disease. Increased folate requirements during pregnancy, breastfeeding, or certain illnesses. Chronic alcohol consumption, which interferes with folate absorption and metabolism. Use of certain medications such as anticonvulsants and methotrexate that interfere with folate metabolism.
Key Symptoms: Fatigue and weakness Shortness of breath Pale or jaundiced skin Restlessness or irritability Difficulty concentrating Swollen or sore tongue (glossitis) Gastrointestinal disturbances like nausea or diarrhea Elevated heart rate
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves blood tests to evaluate red blood cell size and number, including a complete blood count (CBC). A peripheral blood smear may show large, immature red blood cells characteristic of megaloblastic anemia. Measuring serum folate levels helps confirm deficiency. Additional tests might assess underlying malabsorption or other contributing factors.
Treatment Protocols: Treatment primarily focuses on correcting the folate deficiency through dietary improvements and supplementation. Folate supplements are often prescribed, typically in high doses initially, then adjusted based on response. Addressing the underlying causes, such as treating malabsorption conditions or modifying medication use, is also important. Nutritional counseling can support long-term prevention and management.
Clinical Advice & FAQs
Billing Guidance
Is D52.0 a billable ICD-10 code?
Yes, D52.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report D52.0?
Clinical documentation must specify the nature of Dietary folate deficiency anemia and any associated comorbidities for accurate reporting.
Cite this Clinical Reference