ICD-10 Coding for Myeloproliferative Neoplasms(D45.0, D47.3)
Complete ICD-10-CM coding and documentation guide for Myeloproliferative Neoplasms. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Myeloproliferative Neoplasms
D45-D47Primary Range
Myeloproliferative diseases
This range includes codes for various types of myeloproliferative neoplasms, which are the primary focus of this documentation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D45.0 | Polycythemia Vera | Use when Polycythemia Vera is confirmed with JAK2 mutation and elevated hemoglobin/hematocrit. |
|
| D47.3 | Essential Thrombocythemia | Use when Essential Thrombocythemia is confirmed with CALR/MPL mutation and elevated platelet count. |
|
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 Polycythemia Vera
Essential facts and insights about Myeloproliferative Neoplasms
Primary ICD-10-CM Codes for probable number
Decision Criteria
clinical Criteria
- Presence of JAK2 mutation and elevated hemoglobin
Applicable To
- JAK2 mutation positive Polycythemia Vera
Excludes
- Secondary polycythemia (D75.1)
Clinical Validation Requirements
- JAK2 V617F mutation
- Elevated hemoglobin and hematocrit
Code-Specific Risks
- Misclassification if JAK2 mutation is not confirmed
Coding Notes
- Ensure JAK2 mutation is documented for accurate coding.
D47.3 - Essential Thrombocythemia
Use when Essential Thrombocythemia is confirmed with CALR/MPL mutation and elevated platelet count.
Applicable To
- CALR/MPL mutation positive Essential Thrombocythemia
Excludes
- Reactive thrombocytosis (D75.81)
Clinical Validation Requirements
- CALR/MPL mutation
- Platelet count >450k/µL
Coding Notes
Ensure CALR/MPL mutation is documented for accurate coding.
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 Myeloproliferative Neoplasms to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D45.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure all genetic test results are documented.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always use specific codes like D45.0 or D47.3 when mutations are confirmed.
Impact
Lack of documentation for genetic testing results.
Mitigation Strategy
Ensure all test results are included in the patient's record.
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 Myeloproliferative Neoplasms, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Myeloproliferative Neoplasms
Use these documentation templates to ensure complete and accurate documentation for Myeloproliferative Neoplasms. These templates include all required elements for proper coding and billing.
Diagnosis of Polycythemia Vera
Specialty: HematologyRequired Elements
- JAK2 mutation status
- Hemoglobin and hematocrit levels
- Presence of splenomegaly
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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