![]() No triplets or larger aggregates were present is this case, but have been previously reported. Doublet formation has only rarely been described previously. Spherocytosis is a feature of autoimmune hemolytic anemias and results from partial phagocytosis of IgG/complement-coated erythrocytes. With treatment, her mean corpuscular volume returned to normal along with disappearance of spherocytes. The patient relapsed after prednisone, rituximab, and splenectomy and eventually responded to azathioprine. hemorrhagic (acute) (leptospiral) (spirochetal) A27.0. Diagnosis was warm antibody autoimmune hemolytic anemia and thrombocytopenia (Evan syndrome). There are 9 terms under the parent term 'Icterus' in the ICD-10-CM Alphabetical Index. ![]() There was no evidence of underlying lymphoproliferative disorder. This is the American ICD-10-CM version of H15.8 - other international versions of ICD-10 H15.8 may differ. Typically, normal smears show only rare doublets (<1%). The 2023 edition of ICD-10-CM H15.8 became effective on October 1, 2022. Remarkably, there were no single spherocytes. Peripheral smear revealed that 12% of discrete stained entities were doublets (arrows). Direct Coombs test was positive for immunoglobulin G (IgG) with no evidence for IgM. ![]() Laboratory values showed a white blood cell count of 11 200/µL, hemoglobin 6.3 g/dL, hematocrit 18.3%, platelets 116 K/µL, haptoglobin <5.8 mg/dL, reticulocyte count 18.6%, mean corpuscular volume 131 fl, and indirect hyperbilirubinemia. Physical examination revealed scleral icterus, axillary lymphadenopathy, and splenomegaly. The code is valid during the fiscal year 2023 from. Causes include liver disease, biliary tract obstruction, and hemolysis.A 55-year-old woman presented with progressive fatigue, jaundice, and weight loss of 40 pounds. H15.89 is a billable ICD-10 code used to specify a medical diagnosis of other disorders of sclera.
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