ICD-10 Coding for Anisomycin-Induced Pruritus(L29.81, T37.3X5A)
Complete ICD-10-CM coding and documentation guide for Anisomycin-Induced Pruritus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anisomycin-Induced Pruritus
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L29.81 | Cholestatic pruritus | Use when pruritus is linked to drug-induced cholestasis. |
|
| T37.3X5A | Adverse effect of antiprotozoal drugs | Use for adverse effects of anisomycin, including pruritus. |
|
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: How to code pruritus due to anisomycin
Essential facts and insights about Anisomycin-Induced Pruritus
Primary ICD-10-CM Codes for pruritus protein synthesis inhibitor anisomycin
Decision Criteria
clinical Criteria
- Presence of elevated liver function tests indicating cholestasis.
Applicable To
- Pruritus due to cholestasis
Excludes
- Pruritus ani (L29.0)
Clinical Validation Requirements
- Elevated ALP ≥2x ULN
- Total bilirubin ≥1.5 mg/dL
Code-Specific Risks
- Incorrectly coding as unspecified pruritus when cholestasis is present.
Coding Notes
- Ensure documentation specifies cholestatic pattern and drug involvement.
T37.3X5A - Adverse effect of antiprotozoal drugs
Use for adverse effects of anisomycin, including pruritus.
Applicable To
- Adverse effect of anisomycin
Clinical Validation Requirements
- Documentation linking anisomycin to pruritus
Coding Notes
Ensure adverse effect is clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Drug-induced liver injury
K76.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other pruritus
L29.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anisomycin-Induced Pruritus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L29.81.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for drug details., Regular training on documentation standards.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Non-compliance with coding specificity requirements., Data Quality: Decreased accuracy in clinical data.
Mitigation Strategy
Use L29.81 for cholestatic pruritus when applicable.
Impact
Risk of using unspecified codes when specific codes are available.
Mitigation Strategy
Regular audits and coder training on new codes.
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 Anisomycin-Induced Pruritus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anisomycin-Induced Pruritus
Use these documentation templates to ensure complete and accurate documentation for Anisomycin-Induced Pruritus. These templates include all required elements for proper coding and billing.
Cholestatic pruritus due to anisomycin
Specialty: HepatologyRequired Elements
- Patient history of anisomycin use
- Liver function test results
- Description of pruritus
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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