icd 10 code pancytopenia related to methotrexate therapy for rheumatoid arthritis

by Doyle Howe 10 min read

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Is pancytopenia secondary to methotrexate therapy in rheumatoid arthritis (RA)?

Pancytopenia is not an uncommon side effect of low-dose pulse MTX therapy in RA. It can lead to serious complications, including death. Pancytopenia secondary to methotrexate therapy in rheumatoid arthritis

What is the ICD 10 code for drug-induced pancytopenia?

Other drug-induced pancytopenia 1 D61.811 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM D61.811 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of D61.811 - other international versions of ICD-10 D61.811 may differ. More ...

What is the new ICD 10 for anemia?

The 2021 edition of ICD-10-CM D61.81 became effective on October 1, 2020. This is the American ICD-10-CM version of D61.81 - other international versions of ICD-10 D61.81 may differ. Type 1 Excludes pancytopenia (due to) (with) aplastic anemia (

What is a type 1 exclude note in ICD 10?

This is the American ICD-10-CM version of D61.81 - other international versions of ICD-10 D61.81 may differ. A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as D61.81.

Does methotrexate cause pancytopenia?

MTX-induced pancytopenia is dose- and duration-dependent and is seen in approximately 1.4% of the reported side effects, with a female preponderance (62.51%), with around 59% in patients above 60 years of age [8,9]. The effects of pancytopenia include anemia, leukopenia, and thrombocytopenia.

What is the 2021 ICD-10 code for pancytopenia?

ICD-10 code D61. 81 for Pancytopenia is a medical classification as listed by WHO under the range - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism .

Can Rheumatoid arthritis cause pancytopenia?

Methotrexate (MTX) is the most commonly used drug in the treatment of rheumatoid arthritis (RA). In MTXtreated RA patients, the prevalence of pancytopenia is nearly 3%. Several medications may be prescribed for RA patients with an additional systemic disease.

How do you code pancytopenia?

Other pancytopeniaD61. 818 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.The 2022 edition of ICD-10-CM D61. 818 became effective on October 1, 2021.This is the American ICD-10-CM version of D61. 818 - other international versions of ICD-10 D61.

What is pancytopenia?

(pan-SY-toh-PEE-nee-uh) A condition in which there is a lower-than-normal number of red and white blood cells and platelets in the blood. Pancytopenia occurs when there is a problem with the blood-forming stem cells in the bone marrow.

What is the ICD-10 code for rheumatoid arthritis?

ICD-10 Code for Rheumatoid arthritis, unspecified- M06. 9- Codify by AAPC.

Does methotrexate cause bone marrow suppression?

Methotrexate is an antimetabolite that, apart from its use in malignant disorders, is taken orally in low doses for the control of conditions such as rheumatoid arthritis and psoriasis. When used in chemotherapy it causes profound suppression of bone marrow.

Does methotrexate cause leukopenia?

Myelosuppression and pancytopenia including thrombocytopenia, megaloblastic anaemia, and leukopenia are the most frequent hematological toxicity, which occur later during low dose Methotrexate treatment.

Does methotrexate cause thrombocytopenia?

Methotrexate, which is used for RA treatment, causes thrombocytopenia. Therefore, in medical practice, physicians avoid using methotrexate in patients who are diagnosed with ITP.

What is the ICD 9 code for pancytopenia?

284.19ICD-9 code 284.19 for Other pancytopenia is a medical classification as listed by WHO under the range -DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS (280-289).

What is the ICD 10 code for pancytopenia due to chemo?

ICD-10-CM Code for Antineoplastic chemotherapy induced pancytopenia D61. 810.

Can you code pancytopenia and anemia together?

The definition of pancytopenia given by ACS 0304 is a combination of three blood disorders: anaemia, neutropenia and thrombocytopenia. ACS 0304 states that D61. 9 Aplastic anaemia should be assigned for documentation of pancytopenia alone (without mention of specific blood abnormalities).

What is Felty's syndrome?

Felty syndrome is usually described as associated with or a complication of rheumatoid arthritis. This disorder is generally defined by the presence of three conditions: rheumatoid arthritis (RA), an enlarged spleen (spenomelgaly) and a low white blood cell count (neutropenia).

What blood tests are done for joint pain?

6 Blood Tests Used to Diagnose Rheumatoid ArthritisErythrocyte sedimentation rate (ESR)C-reactive protein (CRP)Full blood count (CBC)Rheumatoid factor.CCP antibodies.Antinuclear antibody (ANA)Other diagnostic methods.

Can methotrexate cause eosinophilia?

In addition, eosinophilia has been observed as a side effect of methotrexate in patients with chronic arthritis and may or may not be accompanied by pancytopenia [26].

Does leflunomide cause pancytopenia?

Conclusions: The risk of pancytopenia during leflunomide therapy appears to be increased when the drug is combined with methotrexate and in older patients. Onset may be delayed, and ongoing monitoring of blood counts is essential.

What drug causes pancytopenia?

Pancytopenia caused by sulfonamide drug. Pancytopenia caused by thiazide drug. Pancytopenia induced by antidiabetics. Pancytopenia induced by antiepileptics. Pancytopenia induced by antithyroids. Pancytopenia induced by chloramphenicol. Pancytopenia induced by colchicine.

What is pancytopenia caused by?

Pancytopenia caused by antidiabetic drug. Pancytopenia caused by antiepileptic drug. Pancytopenia caused by antithyroid drug. Pancytopenia caused by chloramphenicol. Pancytopenia caused by colchicine. Pancytopenia caused by nonsteroidal anti-inflammatory drug. Pancytopenia caused by phenothiazine drug.