ICD-10 Coding for Complete Blood Count with Differential Platelet(D64.9)
Complete ICD-10-CM coding and documentation guide for Complete Blood Count with Differential Platelet. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Complete Blood Count with Differential Platelet
D60-D64Primary Range
Aplastic and other anemias and other bone marrow failure syndromes
Includes conditions such as aplastic anemia and other marrow failure syndromes that often necessitate CBC with differential.
Key Information: ICD-10 code for CBC with differential platelet
Essential facts and insights about Complete Blood Count with Differential Platelet
Primary ICD-10-CM Code for complete blood count with differential platelet
Decision Criteria
clinical Criteria
- Presence of symptoms like fatigue and pallor.
Applicable To
- Anemia NOS
Excludes
- Nutritional anemia (D50-D53)
Clinical Validation Requirements
- Low hemoglobin levels
- Symptoms of fatigue and pallor
Code-Specific Risks
- Lack of specificity may lead to denials.
Coding Notes
- Ensure documentation supports anemia diagnosis with clinical findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other fatigue
R53.83Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Iron deficiency anemia, unspecified
D50.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Complete Blood Count with Differential Platelet to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D64.9.
Impact
Clinical: May lead to inappropriate test utilization., Regulatory: Non-compliance with billing regulations., Financial: Potential claim denials.
Mitigation Strategy
Ensure all symptoms are documented., Link symptoms to ICD-10 codes.
Impact
Reimbursement: Incorrect billing may lead to claim denials., Compliance: Non-compliance with CMS guidelines., Data Quality: Inaccurate data on test utilization.
Mitigation Strategy
Use 85025 only unless manual differential was separately ordered.
Impact
Improper billing for reflex tests can lead to audits.
Mitigation Strategy
Ensure documentation clearly indicates test orders and reflex protocols.
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 Complete Blood Count with Differential Platelet, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Complete Blood Count with Differential Platelet
Use these documentation templates to ensure complete and accurate documentation for Complete Blood Count with Differential Platelet. These templates include all required elements for proper coding and billing.
Routine CBC in primary care
Specialty: Primary CareRequired Elements
- Indication for test
- Symptoms and clinical findings
- Test results
- Interpretation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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