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therapeutic phlebotomy for secondary polycythemia

Polycythemia vera (PV) patients are treated with periodic therapeutic phlebotomy (TP) in order to maintain hematocrit levels <45% in an effort to reduce the incidence of thrombotic events [Marchioli NEJM 2013]. polycythemia vera, and secondary polycythemia. Useful For. It's a lot like donating blood. Phlebotomy fees are charged for ALL OTHER DIAGNOSES. ... Polycythemia: primary and secondary. Diagnosis (PLEASE CHECK ONE) Primary polycythemia (Polycythemia vera, other rare genetic polycythemias) Secondary polycythemia (due to testosterone therapy) Secondary polycythemia (not related to testosterone therapy) Another source for therapeutic phlebotomy will need to be found by the prescribing physician for these indications. The word literally translates to “many blood”, and refers to an overproduction of red blood cells in the body. The treatment of hemochromatosis, polycythemia, and porphyrias. BloodworksNW’s is not able to bill for other categories of therapeutic phlebotomy and must discontinue service for these patients. Indications Therapeutic phlebotomy is indicated as an integral com-ponent of the treatment of several medical conditions. Reviewing these diagnoses will help nurses understand why phlebotomy is an important part of treatment. The reimbursement codes for therapeutic phlebotomy are CPT 39107, icd9 code 289.0. Phlebotomy Secondary Polycythemia due to D75.1 Testosterone Replacement Therapy D75.1Secondary Polycythemia, other D45Polycythemia Vera Hereditary Hemochromatosis E83.110 E83.118Other Hemochromatosis Other (Include both ICD-10 Code and Diagnosis): Minimum Hematocrit for Phlebotomy Therapeutic Phlebotomy for Secondary Polycythemia Due to Obesity Hypoventilation Syndrome in a 12 Year Old Child. They may also be at increased risk for thrombosis, strokes, myocardial infarction, and deep venous thrombosis. One such condition that responds to therapeutic phlebotomy is polycythemia. Abstract published at Hospital Medicine 2014, March 24-27, Las Vegas, Nev.. Abstract 278 Journal of Hospital Medicine, Volume 9, Suppl 2. Treatment includes phlebotomy with the possible addition of myelosuppressive agents based on a risk-stratified approach. In: Kjeldsberg CR. Before initiating the procedure, nurses must be aware of a patient s diagnosis, baseline hemoglobin, hematocrit, ferritin, and therapeutic end points. These are the patients who require phlebotomy. Therapeutic Phlebotomy Abba Zubair, M.D., Ph.D. People suffering from polycythemia have blood that is thick, viscous, or “sticky”, and the condition can be fatal. Polycythemia vera is a condition where a genetic mutation causes the bone marrow to make too many red blood cells (erythrocytosis or polycythemia), platelets (thrombocytosis), and white blood cells (leukocytosis).This increase in the blood cells, particularly the red blood cells, thickens the blood which slows blood flow. Unfortunately, therapeutic phlebotomy can be a difficult option to get reimbursed or covered by insurance companies. Some patients with extreme secondary polycythemia have impaired alertness, dizziness, headaches, and compromised exercise tolerance. The excluded categories are polycythemia vera, secondary polycythemia, and porphyria cutanea tarda. A phlebotomy is often the first treatment for polycythemia vera. Therapeutic phlebotomy is a blood draw procedure usually prescribed by a physician as part of a treatment of various medical conditions associated with accumulation of excess iron in the body. During this therapy, your doctor removes blood from your vein. The blood center DOES NOT perform ferritin testing. It is the cheapest and most effective method for removing excess iron in nonanemic patients. , dizziness, headaches, and deep venous thrombosis vera, secondary polycythemia and... Thrombosis, strokes, myocardial infarction, and refers to an overproduction of red blood cells in body... Hypoventilation Syndrome in a 12 Year Old Child of myelosuppressive agents based on a risk-stratified approach blood that is,! Need to be found by the prescribing physician for these indications polycythemia, and the condition can be.! They may also be at increased risk for thrombosis, strokes, myocardial infarction, and compromised tolerance. The reimbursement codes for therapeutic phlebotomy and must discontinue service for these indications treatment of hemochromatosis, polycythemia, refers..., strokes, myocardial infarction, and the condition can be a difficult option to get reimbursed or covered insurance... 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