Results 1 to 2 of 2

No, seriously... HELP!

  1. #1
    Stuart, Florida
    Exclamation No, seriously... HELP!
    Medical Coding Books
    I've questioned before about coding thrombocytopenia and anemia in addition to the MDS code.
    Basically, I got both answers. Yes, code it and no, don't code it.

    I'm going to go ahead and try once more for a more definitive answer. I'm hoping that someone familiar with this condition, that wasn't around to see my initial posts, is around to help me now!

    What dx code(s) would you assign for the following:

    Myelodysplastic syndrome with chronic ITP and anemia

    Once again, any help, opinion or otherwise, is much appreciated. Thanks in advance!
    Vanessa Mier, CPC

  2. #2
    I would code 238.75 MDS unspecified, 287.49 secondary thrombocytopenia and 285.22 anemia in neoplastic disease.

    My reasoning is that the definition of thrombocytopenia is the deficiency of platelets in the blood. The definition of anemia is the deficiency of red blood cells, hemoglobin and/or total volume in the blood. Different definitions and the lack of a coding guideline with these codes directing not to use both, makes me confident that these are two distinct conditions that required their own code to accurately describe the total condition of the patient.

    I chose the "secondary" and "in neoplastic disease" codes because the word "with" is indicative that the thrombocytopenia and anemia are in direct relation and caused by the MDS.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.