ICD-10 Coding for Acute Leukemia(C91.0, C92.0)
Complete ICD-10-CM coding and documentation guide for Acute Leukemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Leukemia
C91-C95Primary Range
Leukemia
This range includes all types of leukemia, with specific codes for acute forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C91.0 | Acute lymphoblastic leukemia [ALL] | Use for confirmed cases of ALL with specified lineage. |
|
| C92.0 | Acute myeloblastic leukemia [AML] | Use for confirmed cases of AML with specified genetic markers. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acute leukemia
Essential facts and insights about Acute Leukemia
Primary ICD-10-CM Codes for acute leukemia
Decision Criteria
clinical Criteria
- Presence of ≥20% lymphoblasts in marrow.
Applicable To
- T-cell precursor leukemia
- B-cell precursor leukemia
Excludes
- Chronic lymphocytic leukemia (C91.1-)
Clinical Validation Requirements
- ≥20% lymphoblasts in marrow
- Flow cytometry confirming B/T-cell lineage
Code-Specific Risks
- Misclassification if lineage is not specified.
Coding Notes
- Ensure lineage and remission status are documented.
C92.0 - Acute myeloblastic leukemia [AML]
Use for confirmed cases of AML with specified genetic markers.
Applicable To
- M0-M7 FAB classifications
Excludes
- Chronic myeloid leukemia (C92.1-)
Clinical Validation Requirements
- Auer rods on smear
- MPO+ staining
- NPM1 or CEBPA mutation
Coding Notes
Document genetic markers and FAB classification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Leukemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C91.0.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Potential audit issues., Financial: Incorrect DRG assignment.
Mitigation Strategy
Ensure genetic testing is documented., Include results in patient records.
Impact
Reimbursement: Incorrect DRG assignment leading to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use C91.0- or C92.0- for active disease.
Impact
Using remission codes without proper documentation.
Mitigation Strategy
Ensure remission status is clearly documented in the medical record.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute Leukemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Leukemia
Use these documentation templates to ensure complete and accurate documentation for Acute Leukemia. These templates include all required elements for proper coding and billing.
New diagnosis of ALL
Specialty: HematologyRequired Elements
- Lineage specification
- Remission status
- Blast percentage
- Flow cytometry results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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