Hello everyone!
I'm hoping someone can help me out with this - I have a case that the diagnosis is "T-lymphoblastic leukemia". I used "C91.00" (acute lymphoblastic leukemia not having achieved remission) but for some reason, that code was kicked stating that it was not a usable code (I'm not sure why as it's in the book but who knows) - so the next closest code I could find was "C91.50" (adult T-cell lymphoma/leukemia (HTLV-1 associated) not having achieved remission) - what has me thrown is the "HTLV-1 associated" - I'm not seeing anything like that in the body of the report - unfortunately the pathologist who signed out the case is gone on vacation so I can't ask him . .. Any thoughts if this is a usable code for this particular case or if there is something else better?
** UPDATE ** The pathologist just answered me back (yaaa for technology and getting messages on your phone lol) and this is what he stated "No adult t-cell leukemia/lymphoma is different. I'm surprised there's no t- lymphoblastic leukemia. It might be listed as t-cell acute lymphocytic leukemia but that is older terminology." So any thoughts? I'm kinda stumped here ...
** UPDATE #2 ** Well, this is turning into a long post lol! But after going back through the codes again, the only one I could find that would work was "C95.90" (Leukemia, unspecified, not having achieved remission) - I'll use this code if no one else has a better one?
I'm hoping someone can help me out with this - I have a case that the diagnosis is "T-lymphoblastic leukemia". I used "C91.00" (acute lymphoblastic leukemia not having achieved remission) but for some reason, that code was kicked stating that it was not a usable code (I'm not sure why as it's in the book but who knows) - so the next closest code I could find was "C91.50" (adult T-cell lymphoma/leukemia (HTLV-1 associated) not having achieved remission) - what has me thrown is the "HTLV-1 associated" - I'm not seeing anything like that in the body of the report - unfortunately the pathologist who signed out the case is gone on vacation so I can't ask him . .. Any thoughts if this is a usable code for this particular case or if there is something else better?
** UPDATE ** The pathologist just answered me back (yaaa for technology and getting messages on your phone lol) and this is what he stated "No adult t-cell leukemia/lymphoma is different. I'm surprised there's no t- lymphoblastic leukemia. It might be listed as t-cell acute lymphocytic leukemia but that is older terminology." So any thoughts? I'm kinda stumped here ...
** UPDATE #2 ** Well, this is turning into a long post lol! But after going back through the codes again, the only one I could find that would work was "C95.90" (Leukemia, unspecified, not having achieved remission) - I'll use this code if no one else has a better one?
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