Results 1 to 3 of 3

Dx code for leukemic meningitis

  1. #1
    Default Dx code for leukemic meningitis
    Medical Coding Books
    I'm at a loss for this code leukemic meningitis. The patient has CML (Chronic myeloid leukemia) 205.00. Do I code 321.8 (Menigitis due to other nonbacterial organisms classified elsewhere) with 205.00? Or 205.00 and 198.4 (2ndary malignant neoplasm of meninges)? Or all 3 codes?

  2. Default
    Since Leukemic Meningitis is the term to describe the spread of the cancer cells to the meninges I would use 205.10 *(not 205.00 - however I am assuming that is a typo) and 198.4.
    321.8 describes an infection that causes inflamation of the brain and spinal cord. That inflamation is not always present in the early stages of Leukemic Meningitis ~ the patient may have positive leukemia cells in the meninges, mri may show abnormal findings in the CSF or abnormal enhancements in the CNS therefore leading to the dx of LM.
    Hope that helps!

  3. #3
    Default
    Quote Originally Posted by cblack712 View Post
    Since Leukemic Meningitis is the term to describe the spread of the cancer cells to the meninges I would use 205.10 *(not 205.00 - however I am assuming that is a typo) and 198.4.
    321.8 describes an infection that causes inflamation of the brain and spinal cord. That inflamation is not always present in the early stages of Leukemic Meningitis ~ the patient may have positive leukemia cells in the meninges, mri may show abnormal findings in the CSF or abnormal enhancements in the CNS therefore leading to the dx of LM.
    Hope that helps!
    That makes sense. Thanks for your help and it was a typo.

Similar Threads

  1. HSV meningitis in a newborn
    By buckeye56 in forum Diagnosis Coding
    Replies: 1
    Last Post: 12-18-2013, 06:31 PM
  2. HSV Meningitis in newborn
    By buckeye56 in forum Pediatrics
    Replies: 0
    Last Post: 12-16-2013, 10:53 AM
  3. Coding Suspected Meningitis
    By bnewport in forum Pediatrics
    Replies: 1
    Last Post: 01-25-2013, 03:45 PM
  4. Replies: 1
    Last Post: 03-07-2011, 11:55 AM
  5. H1N1 Meningitis
    By fpaisley in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-15-2010, 11:52 AM

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?

Login

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.