Code D63.0 is for anemia in, due to, or with the malignancy, and not due to the antineoplastic chemotherapy drugs, which is an adverse effect. Anemia of other chronic disease Code first the underlying chronic disease, followed by code D63.8. Antineoplastic chemotherapy-induced anemia D64.81, Anemia due to antineoplastic chemotherapy
ICD-10-CM: Chapter 3. Code first the neoplasm (C00-D49) responsible for the anemia and code D63.0. Code D63.0 is for anemia in, due to, or with the malignancy, and not due to the antineoplastic chemotherapy drugs, which is an adverse effect.
Antineoplastic chemotherapy-induced anemia D64.81, Anemia due to antineoplastic chemotherapy When the admission/encounter is for management of an anemia associated with an adverse effect of chemotherapy, and the only treatment is for anemia
Pt was admitted with nausea and vomiting AFTER having an adverse affect to the chemotherapy. V58.11 would imply you are administering the drugs at that particular encounter. Code assignment is correct as stated by the answer key.
81.
Complications of Cancer TreatmentICD-10-CM CodeICD-10-CM DescriptionD61.1Drug-induced aplastic anemia (aplastic anemia due to antineoplastic chemotherapy)D61.810Antineoplastic chemotherapy induced pancytopeniaD64.81Anemia due to antineoplastic chemotherapyD70.1Agranulocytosis secondary to cancer chemotherapy19 more rows
ICD-10-CM Code for Adverse effect of antineoplastic and immunosuppressive drugs, initial encounter T45. 1X5A.
ICD-10-CM Code for Anemia in neoplastic disease D63. 0.
Chemotherapy-induced anemia (CIA) is a consequence of malignant invasion of normal tissue leading to blood loss, bone marrow infiltration with disruption of erythropoiesis, and functional iron deficiency as a consequence of inflammation.
Code D64. 9 is the diagnosis code used for Anemia, Unspecified, it falls under the category of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. Anemia specifically, is a condition in which the number of red blood cells is below normal.
1 for Encounter for antineoplastic chemotherapy and immunotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 Code for Unspecified adverse effect of drug or medicament- T88. 7- Codify by AAPC.
D84. 821 Immunodeficiency due to drugs Medications that interfere with the immune system. These medications include immunosuppressants, corticosteroids, and chemotherapy.
Cancer treatments, such as chemotherapy and radiation therapy, as well as cancers that affect the bone marrow, can cause anemia. When you are anemic, your body does not have enough red blood cells.
As per the Index pathway 'Anaemia/iron deficiency', D50. 9 Iron deficiency anaemia, unspecified should only be assigned for documentation of iron deficiency anaemia.
11, Encounter for antineoplastic chemotherapy; or Z51. 12, encounter of antineoplastic immunotherapy as the first-listed or principal diagnosis.
Cancer treatments, such as chemotherapy and radiation therapy, as well as cancers that affect the bone marrow, can cause anemia. When you are anemic, your body does not have enough red blood cells.
1 for Encounter for antineoplastic chemotherapy and immunotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
D64. 81 - Anemia due to antineoplastic chemotherapy | ICD-10-CM.
D70. 1 - Agranulocytosis secondary to cancer chemotherapy | ICD-10-CM.
V58.11 is only a first listed diagnosis code, using when the encounter is for administration fo chemotherapy only. see the official icd guidelines. "Patient admission/encounter solely for administration of chemotherapy, immunotherapy and radiation therapy :
If a patient admission/encounter is solely for the administration of chemotherapy, immunotherapy or radiation therapy assign code V58.0, Encounter for radiation therapy, or V58.11, Encounter for antineoplastic chemotherapy, or V58.12, Encounter for antineoplastic immunotherapy as the first-listed or principal diagnosis. If a patient receives more than one of these therapies during the same admission more than one of these codes may be assigned, in any sequence."
V58.11 would imply you are administering the drugs at that particular encounter. Code assignment is correct as stated by the answer key.
assign code T45.515-, Adverse effect of anticoagulant, or code T45.525- , Adverse effect of antithrombotic drugs, to indicate any adverse effect of an administered drug, with code D68.32, Hemorrhagic disorder due to extrinsic circulating anticoagulants
only the code for pancytopenia (D61.81-) should be assigned
Iron-Deficiency Anemia specified as secondary to acute blood loss
Code first the underlying chronic disease, followed by code D63.8.
Code first the underlying chronic kidney disease (CKD) with a code from category N18 to indicate the stage of CKD, and code D63.1.
not assigned for hemorrhagic disorder due to extrinsic circulating anticoagulants; it is only assigned when the physician specifically documents a diagnosis of hemorrhagic disorder due to intrinsic circulating anticoagulants.
a prolonged bleeding time is an expected result, and therefore code R79.1 is not assigned.
Code sequencing matters when the admission/encounter is for management of anemia associated with malignancy, and the treatment is only for the anemia. According to ICD-10-CM guidelines, the appropriate code for the malignancy is sequenced as the principal (or first-listed) diagnosis, followed by the appropriate code for the anemia.
What if the reason for admission is for management of anemia associated with an adverse effect of chemotherapy or immunotherapy, and the treatment is only for the anemia? In this case, sequence the anemia code first, followed by the codes for the neoplasm and the adverse effect.
When a patient has chronic kidney disease (CKD) and anemia, assign the appropriate code from category N18 Chronic kidney disease (CKD) and code D63.1 Anemia in chronic kidney disease.
Anemia is very common but may present for any number of reasons. You must know the reason to code this condition correctly and with the utmost specificity. If it is not clear in the documentation, query the provider.