ICD-10 Coding for Chronic Myelocytic Leukemia(C92.10, C92.11)
Complete ICD-10-CM coding and documentation guide for Chronic Myelocytic Leukemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Myelocytic Leukemia
C92.1-C92.12Primary Range
Chronic myeloid leukemia, BCR/ABL-positive
This range covers all stages and remission statuses of CML with BCR/ABL positivity.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C92.10 | Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission | Use when CML is active and BCR/ABL-positive status is confirmed. |
|
| C92.11 | Chronic myeloid leukemia, BCR/ABL-positive, in remission | Use when CML is in remission with documented BCR/ABL1 levels. |
|
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 chronic myelocytic leukemia
Essential facts and insights about Chronic Myelocytic Leukemia
Primary ICD-10-CM Codes for chronic myelocytic leukemia
Decision Criteria
clinical Criteria
- Confirmed BCR/ABL-positive status
Applicable To
- Active CML with BCR/ABL-positive
Clinical Validation Requirements
- Presence of Philadelphia chromosome
- BCR-ABL1 transcript detected via PCR
Code-Specific Risks
- Misclassification if BCR/ABL status is not confirmed
Coding Notes
- Ensure BCR/ABL status is documented before using this code.
C92.11 - Chronic myeloid leukemia, BCR/ABL-positive, in remission
Use when CML is in remission with documented BCR/ABL1 levels.
Applicable To
- CML in molecular remission
Excludes
- Atypical chronic myeloid leukemia (C92.2-)
- Chronic myelomonocytic leukemia (C93.1-)
Clinical Validation Requirements
- BCR-ABL1 ≤1% IS
- No splenomegaly or blasts in peripheral blood
Coding Notes
Document BCR-ABL1 levels and remission status clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other pancytopenia
D61.818Differential 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 Chronic Myelocytic Leukemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C92.10.
Impact
Clinical: Inaccurate assessment of disease status, Regulatory: Potential audit issues, Financial: Incorrect reimbursement for remission status
Mitigation Strategy
Regularly update lab results in patient records, Educate staff on documentation requirements
Impact
Reimbursement: May lead to incorrect reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Confirm BCR/ABL status and use C92.1- codes accordingly.
Impact
Inadequate documentation of remission status can lead to audit failures.
Mitigation Strategy
Ensure all remission criteria are documented, including BCR-ABL1 levels.
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 Chronic Myelocytic Leukemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Myelocytic Leukemia
Use these documentation templates to ensure complete and accurate documentation for Chronic Myelocytic Leukemia. These templates include all required elements for proper coding and billing.
CML in remission
Specialty: HematologyRequired Elements
- BCR-ABL1 PCR results
- Current treatment regimen
- Clinical status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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