ICD-10 Coding for Chronic Myelogenous Leukemia(C92.10, C92.11)
Complete ICD-10-CM coding and documentation guide for Chronic Myelogenous Leukemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Myelogenous Leukemia
C92.1-C92.12Primary Range
Chronic myelogenous leukemia, BCR/ABL-positive
This range covers all phases of CML, including chronic, accelerated, and blast crisis, with specific codes for remission status.
Atypical chronic myeloid leukemia, BCR/ABL-negative
This range is used for CML cases that are BCR/ABL-negative, requiring different diagnostic criteria.
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 myelogenous leukemia, BCR/ABL-positive, not having achieved remission | Use when CML is active and not in remission. |
|
| C92.11 | Chronic myelogenous leukemia, BCR/ABL-positive, in remission | Use when CML is in remission, confirmed by molecular testing. |
|
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 myelogenous leukemia
Essential facts and insights about Chronic Myelogenous Leukemia
Primary ICD-10-CM Codes for chronic myelogenous leukemia
Decision Criteria
clinical Criteria
- BCR/ABL1-positive with active disease symptoms
Applicable To
- Active CML, BCR/ABL-positive
Excludes
- C92.20 (Atypical CML, BCR/ABL-negative)
Clinical Validation Requirements
- BCR/ABL1-positive confirmed by PCR or FISH
- Elevated WBC count with basophilia
Code-Specific Risks
- Misclassification if remission status is not documented
Coding Notes
- Ensure BCR/ABL-positive status is documented.
C92.11 - Chronic myelogenous leukemia, BCR/ABL-positive, in remission
Use when CML is in remission, confirmed by molecular testing.
Applicable To
- CML in molecular remission
Excludes
- C92.10 (Active CML)
Clinical Validation Requirements
- BCR/ABL1-positive with molecular remission (≤0.1% IS)
Coding Notes
Document molecular remission status clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of leukemia
Z85.21Differential 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 Myelogenous 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 treatment monitoring, Regulatory: Non-compliance with coding standards, Financial: Potential for claim denials
Mitigation Strategy
Regularly update patient records with remission status, Train staff on documentation requirements
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Poor data quality affecting clinical outcomes tracking.
Mitigation Strategy
Use C92.1x codes with specific documentation of BCR/ABL status and remission.
Impact
Inadequate documentation of remission status can lead to audit issues.
Mitigation Strategy
Implement regular audits of patient records for remission documentation.
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 Myelogenous Leukemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Myelogenous Leukemia
Use these documentation templates to ensure complete and accurate documentation for Chronic Myelogenous Leukemia. These templates include all required elements for proper coding and billing.
CML in remission
Specialty: OncologyRequired Elements
- BCR/ABL1 status
- Phase of disease
- Current treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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