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Home/Diagnosis/ICD-10 Coding for Pancytopenia

ICD-10 Coding for Pancytopenia

D61.810
D61.811
D61.818

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pancytopenia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Triple Cytopenia
Bone Marrow Suppression
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Key Information: ICD-10 Coding for Pancytopenia

Essential facts and insights about ICD-10 Coding for Pancytopenia

Use ICD-10 code D61.810 for antineoplastic chemotherapy-induced pancytopenia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Antineoplastic chemotherapy-induced pancytopenia

Billable Code
D61.810
Billable

Diagnostic Criteria

  • • ANC <1800
  • • Hgb <12 g/dL in females, <13 g/dL in males
  • • Platelets <150,000
  • • Documentation of chemotherapy treatment

Applicable To

  • • Pancytopenia due to chemotherapy

Important Notes

  • • Ensure documentation specifies chemotherapy as the cause.

Other drug-induced pancytopenia

Billable Code
D61.811
Billable

Diagnostic Criteria

  • • ANC <1800
  • • Hgb <12 g/dL in females, <13 g/dL in males
  • • Platelets <150,000
  • • Documentation of drug treatment

Applicable To

  • • Pancytopenia due to drugs other than chemotherapy

Important Notes

  • • Ensure documentation specifies the drug as the cause.

Other pancytopenia

Billable Code
D61.818
Billable

Diagnostic Criteria

  • • ANC <1800
  • • Hgb <12 g/dL in females, <13 g/dL in males
  • • Platelets <150,000

Applicable To

  • • Pancytopenia due to non-drug causes

Important Notes

  • • Ensure documentation specifies non-drug causes.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z51.11

Encounter for antineoplastic chemotherapy

Use to indicate the patient is receiving chemotherapy.

T36-T50

Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

Use to specify the drug causing pancytopenia.

Frequently Asked Questions

What is the ICD-10 code for pancytopenia?

The ICD-10 code for pancytopenia varies based on the cause: D61.810 for chemotherapy-induced, D61.811 for other drug-induced, and D61.818 for other causes.

How do you code pancytopenia due to chemotherapy?

For pancytopenia due to chemotherapy, use ICD-10 code D61.810, ensuring documentation includes chemotherapy as the cause and lab values meet pancytopenia criteria.

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