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23 Jan 2021

Useful For. Diagnosis Hemochromatosis, specify type: Hereditary Non-Hereditary Polycythemia due to Testosterone Therapy Polycythemia, Primary Polycythemia, Secondary Porphyria Cutanea Tarda ‘Polycythemia’ is one of the more common conditions effectively treated using therapeutic phlebotomy. 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. With polycythemia the blood becomes very viscous or "sticky," making it harder for the heart to pump. Thicker blood usually means you have too much blood in circulation. Abstract: Polycythemia vera (PV) is the most common Philadelphia chromosome–negative myeloproliferative neoplasm. As a Polycythemia Vera patient, you can not give blood to the Red Cross. 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 recommendations for polycythemia vera. Patient Information . Porphyries. The blood center DOES NOT perform ferritin testing. Phlebotomy fees are charged for ALL OTHER DIAGNOSES. Therapeutic phlebotomy isn’t much different on the surface as getting blood drawn for any other reason. You will need to check with the respective blood center in your area. Polycythemia vera can lead to fatal complications in some cases. ... An effective response is defined by control of the platelet count, a white cell count that normalizes, minimal use of phlebotomy, and, if present, resolution of splenomegaly after treatment with a maximum tolerated dose given up to 3 months. polycythemia vera, and secondary polycythemia. Diagnosis (PLEASE CHECK ONE) Primary polycythemia (Polycythemia vera, other rare genetic polycythemias) Before initiating the procedure, nurses must be aware of a patient s diagnosis, baseline hemoglobin, hematocrit, ferritin, and therapeutic end points. Polycythemia is an excessive production of red blood cells. Therapeutic Phlebotomy Order . The reimbursement codes for therapeutic phlebotomy are CPT 39107, icd9 code 289.0. Unfortunately, therapeutic phlebotomy can be a difficult option to get reimbursed or covered by insurance companies. Phlebotomy fees are WAIVED for ALL patients with confirmed Hereditary Hemochromatosis or for Testosterone Replacement Therapy. But, getting regular draws can help. You can go to blood centers where they will accept blood from a PV patient for what is referred to as “therapeutic phlebotomy”. The treatment of hemochromatosis, polycythemia, and porphyrias. Reviewing these diagnoses will help nurses understand why phlebotomy is an important part of treatment. Name Sex Date of Birth Address Home Phone Alternate Phone . Where to go for Therapeutic Phlebotomy. three most common reasons for therapeutic phlebotomy are: • Polycythemia (rubra) vera –to decrease red cell mass • Porphyria – to reduce clinical symptoms in patients with metabolic disorders of heme synthesis which may be associated with hepatosplenomegaly, photosensitivity, hyperpigmentation and distinct red colour in the urine Whereas low-risk patients are treated with aspirin and phlebotomy, high-risk patients receive cytoreductive therapy, which most commonly consists of hydroxyurea in the United States. ... Polycythemia vera – Increased bone marrow that can lead to higher blood viscosity. 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