ICD-10 Coding for Plasma Cell Tumor(C90.00, C90.2, C90.3)
Complete ICD-10-CM coding and documentation guide for Plasma Cell Tumor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Plasma Cell Tumor
C90.0-C90.3Primary Range
Multiple myeloma and malignant plasma cell neoplasms
This range includes codes for various types of plasma cell tumors, including multiple myeloma, solitary plasmacytoma of bone, and extramedullary plasmacytoma.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C90.00 | Multiple myeloma not having achieved remission | Use when multiple myeloma is active and not in remission. |
|
| C90.2 | Extramedullary plasmacytoma | Use for extramedullary plasmacytoma without systemic myeloma. |
|
| C90.3 | Solitary plasmacytoma of bone | Use for solitary plasmacytoma of bone without systemic involvement. |
|
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 plasma cell tumor
Essential facts and insights about Plasma Cell Tumor
Primary ICD-10-CM Codes for plasma cell tumor
Decision Criteria
clinical Criteria
- Presence of CRAB features or ≥60% plasma cells
Applicable To
- Active multiple myeloma
Excludes
- Plasma cell leukemia (C91.0)
Clinical Validation Requirements
- Presence of CRAB features or ≥60% plasma cells in bone marrow
Code-Specific Risks
- Ensure CRAB features or biomarkers are documented.
Coding Notes
- Ensure documentation of CRAB features or biomarkers.
C90.2 - Extramedullary plasmacytoma
Use for extramedullary plasmacytoma without systemic myeloma.
Applicable To
- Extramedullary plasmacytoma without systemic involvement
Excludes
- Multiple myeloma (C90.0)
Clinical Validation Requirements
- Soft tissue mass with clonal plasma cells, absence of myeloma-defining biomarkers
Coding Notes
Document absence of systemic involvement.
C90.3 - Solitary plasmacytoma of bone
Use for solitary plasmacytoma of bone without systemic involvement.
Applicable To
- Solitary plasmacytoma of bone without systemic involvement
Excludes
- Multiple myeloma (C90.0)
Clinical Validation Requirements
- Single bone lesion, <10% marrow plasma cells, no end-organ damage
Coding Notes
Document solitary nature and absence of systemic involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pathological fracture in neoplastic disease
M84.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Plasma Cell Tumor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C90.00.
Impact
Clinical: Affects treatment planning and monitoring., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect reimbursement.
Mitigation Strategy
Always append the 7th character for remission status.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects accuracy of patient records.
Mitigation Strategy
Use C90.2 or C90.3 unless myeloma criteria are met.
Impact
Failure to document remission status accurately can lead to audit flags.
Mitigation Strategy
Implement regular training on remission coding and 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 Plasma Cell Tumor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Plasma Cell Tumor
Use these documentation templates to ensure complete and accurate documentation for Plasma Cell Tumor. These templates include all required elements for proper coding and billing.
Diagnosis of Extramedullary Plasmacytoma
Specialty: HematologyRequired Elements
- Biopsy results
- Imaging findings
- Laboratory tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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