ICD-10 Coding for Lymphocytopenia(D72.810)
Complete ICD-10-CM coding and documentation guide for Lymphocytopenia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lymphocytopenia
D70-D77Primary Range
Other disorders of blood and blood-forming organs
This range includes disorders related to white blood cells, including lymphocytopenia.
Key Information: ICD-10 code for lymphocytopenia
Essential facts and insights about Lymphocytopenia
Primary ICD-10-CM Code for lymphocytopenia
Decision Criteria
clinical Criteria
- Absolute lymphocyte count <1,000/mcL confirmed by lab tests
coding Criteria
- Sequence with underlying cause codes as appropriate
documentation Criteria
- Document specific lymphocyte subset depletion
Applicable To
- Absolute lymphocyte count <1,000/mcL in adults
- Flow cytometry confirming lymphocyte subset depletion
Clinical Validation Requirements
- Two CBCs ≥24hr apart showing ALC <1,000/mcL
- Flow cytometry report quantifying lymphocyte subsets
Code-Specific Risks
- Misclassification if cause is not specified
- Incorrect sequencing with related conditions
Coding Notes
- Ensure documentation specifies the cause, duration, and severity of lymphocytopenia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lymphocytopenia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D72.810.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Ensure thorough patient history and lab results are documented.
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Query provider for confirmation of lymphocytopenia based on CBC differential.
Impact
Failure to sequence codes correctly can lead to audit flags.
Mitigation Strategy
Ensure training on proper sequencing rules for conditions like HIV and chemotherapy.
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 Lymphocytopenia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lymphocytopenia
Use these documentation templates to ensure complete and accurate documentation for Lymphocytopenia. These templates include all required elements for proper coding and billing.
Oncology patient with chemotherapy-induced lymphocytopenia
Specialty: OncologyRequired Elements
- Patient history
- Chemotherapy regimen
- CBC results
- Flow cytometry findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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