ICD-10 Coding for Hairy Cell Leukemia(C91.4)
Complete ICD-10-CM coding and documentation guide for Hairy Cell Leukemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hairy Cell Leukemia
C91-C95Primary Range
Leukemia
This range includes all types of leukemia, with C91.4 specifically for hairy cell leukemia.
Key Information: ICD-10 code for hairy cell leukemia
Essential facts and insights about Hairy Cell Leukemia
Primary ICD-10-CM Code for hairy cell leukemia
Decision Criteria
clinical Criteria
- Presence of characteristic hairy cells and positive BRAF mutation.
documentation Criteria
- Detailed immunophenotyping results must be documented.
Applicable To
- Hairy cell leukemia
Clinical Validation Requirements
- Morphology: Hairy cells with circumferential cytoplasmic projections
- Immunophenotype: CD19+, CD20+, CD11c+, CD25+, CD103+, CD123+
- Molecular: BRAF V600E mutation (if tested)
Code-Specific Risks
- Misclassification if immunophenotype or BRAF testing is not documented.
Coding Notes
- Ensure all diagnostic criteria are documented before assigning C91.4.
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 Hairy Cell Leukemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C91.4.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or incorrect reimbursement.
Mitigation Strategy
Always specify leukemia type in documentation., Include immunophenotyping results.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure BRAF mutation testing is documented if performed.
Impact
Risk of audits due to missing immunophenotyping or molecular testing details.
Mitigation Strategy
Implement checklist for required documentation elements in HCL cases.
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 Hairy Cell Leukemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hairy Cell Leukemia
Use these documentation templates to ensure complete and accurate documentation for Hairy Cell Leukemia. These templates include all required elements for proper coding and billing.
Initial Diagnosis of Hairy Cell Leukemia
Specialty: HematologyRequired Elements
- Morphology description
- Immunophenotype results
- Molecular testing results
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hairy Cell Leukemia? Ask your questions below.