ICD-10 Coding for Acute Myelogenous Leukemia(C92.00, C92.01)
Complete ICD-10-CM coding and documentation guide for Acute Myelogenous Leukemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Myelogenous Leukemia
C92.0-C92.9Primary Range
Acute myeloblastic leukemia
This range includes all subtypes of acute myelogenous leukemia, which is the primary focus for coding this condition.
Myelodysplastic syndromes
Relevant for coding AML secondary to MDS, which requires sequencing with MDS codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C92.00 | Acute myeloblastic leukemia not having achieved remission | Use when AML is newly diagnosed and not in remission. |
|
| C92.01 | Acute myeloblastic leukemia, in remission | Use when AML is in complete remission as per clinical criteria. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acute myelogenous leukemia
Essential facts and insights about Acute Myelogenous Leukemia
Primary ICD-10-CM Codes for acute myelogenous leukemia
Decision Criteria
clinical Criteria
- Confirmed diagnosis with ≥20% blasts
Applicable To
- AML not in remission
Excludes
- Chronic myeloid leukemia (C92.1-)
Clinical Validation Requirements
- Bone marrow biopsy showing ≥20% blasts
- CD117+/MPO+ staining
Code-Specific Risks
- Ensure documentation supports lack of remission status to avoid audits.
Coding Notes
- Ensure remission status is clearly documented.
C92.01 - Acute myeloblastic leukemia, in remission
Use when AML is in complete remission as per clinical criteria.
Applicable To
- AML in remission
Excludes
- Chronic myeloid leukemia (C92.1-)
Clinical Validation Requirements
- Documented remission criteria: <5% blasts, ANC >1,000/μL
Coding Notes
Document remission status with specific clinical criteria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Myelogenous Leukemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C92.00.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Regularly review and update patient records, Ensure clinical criteria are documented
Impact
Reimbursement: Unspecified codes may lead to lower reimbursement rates., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces the accuracy of clinical data for research and treatment planning.
Mitigation Strategy
Always specify the subtype and remission status of AML.
Impact
Inadequate documentation of remission status can trigger audits.
Mitigation Strategy
Ensure all remission criteria are clearly documented in patient records.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute Myelogenous Leukemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Myelogenous Leukemia
Use these documentation templates to ensure complete and accurate documentation for Acute Myelogenous Leukemia. These templates include all required elements for proper coding and billing.
AML Diagnosis and Treatment
Specialty: OncologyRequired Elements
- Diagnosis confirmation
- Remission status
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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