Hematology ICD-10-CM Coding Tipsheet Overview of Key Chapter 3 ... - BCBSM
[Pages:2]Hematology ICD-10-CM Coding Tipsheet Overview of Key Chapter 3 Updates
Diseases of the Blood and Blood-forming Organs & Certain Disorders involving the Immune Mechanism (D50-D89)
Key Updates to Chapter 3 of ICD-10-CM: ? Anemia is the most common condition included in this chapter. The use of specific terminology
is important in applying codes for this condition. ? Updates to medical terminology and greater specificity ? Procedural complications affecting the spleen are included in chapter 3 of ICD-10-CM.
Examples of Hematology Combination Codes ? ICD-10-CM ? D57.211 ? Sickle-cell/Hb-C disease with acute chest syndrome ? D57.212 ? Sickle-cell/Hb-C disease with splenic sequestration ? D57.411 ? Sickle-cell thalassemia with acute chest syndrome ? D57.412 ? Sickle-cell thalassemia with splenic sequestration
(Source: 2014 Draft ICD-10-CM Official Guidelines for Coding and Reporting)
The top ten ICD-9 to ICD-10 mappings for this ICD-10 chapter are found in the chart below.
Top ICD-9 10 Code
ICD-9 Description
1 285.9 Anemia, unspecified
2 280.9 Iron deficiency anemia, unspecified
3 281.0 Pernicious anemia
4 281.1 Other vitamin B12 deficiency anemia 281.1 Other vitamin B12 deficiency anemia
281.1 Other vitamin B12 deficiency anemia 281.1 Other vitamin B12 deficiency anemia
281.1 Other vitamin B12 deficiency anemia Other and unspecified coagulation
5 286.9 defects Other and unspecified coagulation
286.9 defects 6 285.21 Anemia in chronic kidney disease 7 287.5 Thrombocytopenia, unspecified
ICD-10 Code D64.9 D50.9
D51.0
D51.1 D51.2
D51.3 D51.8
D51.9
ICD-10 Description
Anemia, unspecified
Iron deficiency anemia, unspecified Vitamin B12 deficiency anemia due to intrinsic factor deficiency
Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria
Transcobalamin II deficiency Other dietary vitamin B12 deficiency anemia
Other vitamin B12 deficiency anemias Vitamin B12 deficiency anemia, unspecified
D68.8 Other specified coagulation defects
D68.9 D63.1 D69.6
Coagulation defect, unspecified Anemia in chronic kidney disease Thrombocytopenia, unspecified
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The Top Ten Hematology ICD-9 to ICD-10 mappings Continued
Top ICD-9 10 Code
ICD-9 Description
ICD-10 Code
ICD-10 Description
8 288.60 Leukocytosis, unspecified
Elevated white blood cell count, D72.829 unspecified
Iron deficiency anemia secondary to 9 280.0 blood loss (chronic)
Iron deficiency anemia secondary to D50.0 blood loss (chronic)
10 288.00 Neutropenia, unspecified
D70.9 Neutropenia, unspecified
The codes highlighted in orange indicate the individual ICD-9 code that is being mapped
to one or many ICD-10 codes
(Source of ICD-9-CM to ICD-10-CM mappings: General Equivalence Mappings (GEMs), 2014)
The information in this document is not intended to impart legal advice. This overview is intended as an educational tool only and should not be relied upon as legal or compliance advice. If you have any legal questions about the information contained herein, you should consult your attorney or other professional legal services provider.
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