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Pancytopenia: Understanding the ICD-10 Codes

Pancytopenia, a condition characterized by a significant decrease in all three types of blood cells – red blood cells, white blood cells, and platelets – is a serious medical condition. Accurate diagnosis and coding of pancytopenia using the International Classification of Diseases, Tenth Revision (ICD-10) is crucial for patient care, research, and reimbursement.

Pancytopenia ICD-10 Codes

The specific ICD-10 code for pancytopenia depends on the underlying cause. Here are the most common codes:

Pancytopenia, unspecified: D61.818
Pancytopenia due to chemotherapy: D61.810
Aplastic anemia (a common cause of pancytopenia): D61.9

Excludes1: pancytopenia (due to) (with) aplastic anemia (D61.9)
pancytopenia (due to) (with) bone marrow infiltration (D61.82)
pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01)
pancytopenia (due to) (with) hairy cell leukemia (C91.4-)
pancytopenia (due to) (with) human immunodeficiency virus disease (B20.-)
pancytopenia (due to) (with) leukoerythroblastic anemia (D61.82)
pancytopenia (due to) (with) myeloproliferative disease (D47.1)

Understanding Pancytopenia and Its Components

Before delving into the ICD-10 codes, it’s essential to understand the components of pancytopenia:

Thrombocytopenia: A decrease in platelets, leading to increased bleeding risk. ICD-10 code: D69.6
Leukopenia: A reduction in white blood cells, impairing the body’s ability to fight infection. ICD-10 code: D72.819
Neutropenia: A specific type of leukopenia affecting neutrophils, a type of white blood cell. ICD-10 code: D70.9
Neutropenic fever: A serious complication of neutropenia characterized by fever. ICD-10 code: D70.9

ICD-10 Guidelines for Pancytopenia

Accurate coding of pancytopenia requires adherence to specific ICD-10 guidelines. These guidelines ensure consistency and precision in diagnosis and documentation. It’s essential to consult the official ICD-10 coding manuals for the most up-to-date information.

Related Conditions and Their ICD-10 Codes

Pancytopenia is often associated with other blood disorders. Here are some examples:

Coagulopathy: A general term for bleeding disorders. ICD-10 codes vary depending on the specific coagulopathy.

ICD-10 Coding Questions

What is the ICD-10 code for pancytopenia?
- The ICD-10 code for unspecified pancytopenia is D61.818. However, the specific code may vary depending on the underlying cause.
How do I determine the correct ICD-10 code for pancytopenia?
- To determine the correct ICD-10 code, accurate diagnosis and documentation of the underlying cause are essential. Consult the official ICD-10 coding manuals for specific guidelines.
Can you provide examples of other ICD-10 codes related to pancytopenia?
- Yes, other related ICD-10 codes include:
  - Thrombocytopenia: D69.6
  - Leukopenia: D72.819
  - Neutropenia: D70.9
  - Aplastic anemia: D61.9
  - Pancytopenia due to chemotherapy: D61.810

Pancytopenia ICD-10: Diagnosis and Coding