ICD-10 Coding for Chemotherapy-Induced Anemia(D64.81, T45.1X5A)
Complete ICD-10-CM coding and documentation guide for Chemotherapy-Induced Anemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chemotherapy-Induced Anemia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D64.81 | Anemia due to antineoplastic chemotherapy | Use when anemia is directly linked to chemotherapy treatment. |
|
| T45.1X5A | Adverse effect of antineoplastic and immunosuppressive drugs | Use alongside D64.81 to indicate adverse effects of chemotherapy. |
|
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 chemotherapy-induced anemia
Essential facts and insights about Chemotherapy-Induced Anemia
Primary ICD-10-CM Codes for chemo induced anemia
Decision Criteria
clinical Criteria
- Anemia symptoms and lab values post-chemotherapy
documentation Criteria
- Explicit mention of chemotherapy as the cause of anemia
Applicable To
- Anemia caused by chemotherapy treatment
Excludes
- Anemia due to malignancy itself (D63.0)
Clinical Validation Requirements
- Hemoglobin <10 g/dL
- Recent chemotherapy administration
- Symptoms such as fatigue requiring intervention
Code-Specific Risks
- Incorrect sequencing if not listed as primary when anemia is the focus of care.
Coding Notes
- Ensure documentation explicitly links anemia to chemotherapy.
T45.1X5A - Adverse effect of antineoplastic and immunosuppressive drugs
Use alongside D64.81 to indicate adverse effects of chemotherapy.
Applicable To
- Adverse effects of chemotherapy drugs
Clinical Validation Requirements
- Documentation of chemotherapy administration
- Symptoms or conditions resulting from chemotherapy
Coding Notes
Always used in conjunction with a primary code indicating the condition caused by the drug.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adverse effect of antineoplastic and immunosuppressive drugs
T45.1X5ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chemotherapy-Induced Anemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D64.81.
Impact
Clinical: Incomplete clinical picture of treatment effects., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement for adverse effects.
Mitigation Strategy
Always include T45.1X5A with D64.81., Review documentation for adverse effects.
Impact
Reimbursement: May affect DRG assignment and reimbursement levels., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure D64.81 is listed first when anemia is the primary focus of care.
Impact
Failure to document the link between anemia and chemotherapy.
Mitigation Strategy
Implement documentation templates that require causality statements.
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 Chemotherapy-Induced Anemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chemotherapy-Induced Anemia
Use these documentation templates to ensure complete and accurate documentation for Chemotherapy-Induced Anemia. These templates include all required elements for proper coding and billing.
Oncology follow-up for chemotherapy-induced anemia
Specialty: OncologyRequired Elements
- Patient symptoms
- Recent chemotherapy details
- Hemoglobin levels
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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