Wiki pancytopenia - ICD-10 Code for Other pancytopenia

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G
Code: D61.818
Code Name: ICD-10 Code for Other pancytopenia
Block: Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)
Details: Other pancytopenia
D61.81
Excludes1: pancytopenia (due to) (with) aplastic anemia (D61.9)
pancytopenia (due to) (with) bone marrow infiltration (D61.82)
pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01)
pancytopenia (due to) (with) hairy cell leukemia (C91.4-)
pancytopenia (due to) (with) human immunodeficiency virus disease (B20.-)
pancytopenia (due to) (with) leukoerythroblastic anemia (D61.82)
pancytopenia (due to) (with) myeloproliferative disease (D47.1)
Excludes2: pancytopenia (due to) (with) myelodysplastic syndromes (D46.-)
D61
Excludes1: neutropenia (D70.-)
Guidelines: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
Excludes 2: autoimmune disease (systemic) NOS (M35.9)
certain conditions originating in the perinatal period (P00-P96)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
human immunodeficiency virus [HIV] disease (B20)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
For more details, visit: https://coder.aapc.com/icd-10-codes/D61.818

BrenLea14

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Fellow coders:

Provider lists neutropenic fever, anemia, and thrombocytopenia in his assessment list. Do I use the code for pancytopenia since all three are listed, or must "pancytopenia" also be documented by the provider in order to use it?

Patient is also undergoing chemotherapy but provider does not document a correlation there so I'm not using "drug-induced pancytopenia."


Thanks for your input!

Brenda
 

markfla3

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Hi Brenda,
As you may already know, you really need to query/communicate with the provider to have him or her specify the anemia diagnosis. Including any relation to the chemo. Besides that, if it’s not documented I wouldn’t code it.
Hope this is useful.

Mark
 
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