ICD-10 Coding for Complete Blood Count Test(D64.9, D70.9)
Complete ICD-10-CM coding and documentation guide for Complete Blood Count Test. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Complete Blood Count Test
D50-D89Primary Range
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
This range includes codes for various blood disorders that may be identified through a CBC test.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D64.9 | Anemia, unspecified | Use when anemia is identified but not further specified. |
|
| D70.9 | Neutropenia, unspecified | Use when neutropenia is identified without further specification. |
|
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 CBC test
Essential facts and insights about Complete Blood Count Test
Primary ICD-10-CM Codes for complete blood count test
Decision Criteria
clinical Criteria
- Anemia confirmed by lab results without specific etiology
Applicable To
- Anemia NOS
Excludes
- Nutritional anemia (D50-D53)
Clinical Validation Requirements
- Hemoglobin level <13 g/dL in males, <12 g/dL in females
Code-Specific Risks
- Ensure anemia is not due to a specific cause that requires a different code.
Coding Notes
- Ensure documentation supports anemia without a specified cause.
D70.9 - Neutropenia, unspecified
Use when neutropenia is identified without further specification.
Applicable To
- Neutropenia NOS
Excludes
- Congenital agranulocytosis (D70.0)
Clinical Validation Requirements
- Neutrophil count <1,500/μL
Coding Notes
Ensure documentation supports neutropenia without a specified cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z13.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Complete Blood Count Test to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D64.9.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure all abnormal results are clinically correlated., Train staff on documentation standards.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on patient health records.
Mitigation Strategy
Use Z13.0 for screening and add specific abnormality codes.
Impact
Using Z00.00 instead of Z13.0 for CBC screenings.
Mitigation Strategy
Educate coders on proper use of screening codes.
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 Complete Blood Count Test, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Complete Blood Count Test
Use these documentation templates to ensure complete and accurate documentation for Complete Blood Count Test. These templates include all required elements for proper coding and billing.
Hematology Consult Note
Specialty: HematologyRequired Elements
- Assessment
- Plan
- Lab Results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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