ICD-10 Coding for Complete Blood Count with Differential/Platelet(R71.0)
Complete ICD-10-CM coding and documentation guide for Complete Blood Count with Differential/Platelet. 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 with Differential/Platelet
D50-D89Primary Range
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
This range includes conditions that are commonly evaluated using a CBC with differential and platelet count.
Key Information: ICD-10 code for CBC with differential
Essential facts and insights about Complete Blood Count with Differential/Platelet
Primary ICD-10-CM Code for complete blood count with differential/platelet
Decision Criteria
clinical Criteria
- Sudden drop in hematocrit levels with clinical symptoms
Applicable To
- Sudden drop in hematocrit
Excludes
- Chronic anemia (D50-D64)
Clinical Validation Requirements
- Documented sudden decrease in hematocrit levels
- Clinical correlation with symptoms like fatigue or pallor
Code-Specific Risks
- Misinterpretation of chronic anemia as acute drop
Coding Notes
- Ensure documentation specifies the acute nature of the hematocrit drop.
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
Z13.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Iron deficiency anemia, unspecified
D50.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Complete Blood Count with Differential/Platelet to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R71.0.
Impact
Clinical: Leads to incomplete clinical assessment., Regulatory: Results in coding errors and potential audits., Financial: May cause claim denials or reduced reimbursement.
Mitigation Strategy
Ensure orders and documentation specify 'with differential', Educate staff on the importance of complete documentation
Impact
Reimbursement: Incorrect billing can lead to claim denials., Compliance: Violates NCCI bundling rules., Data Quality: Leads to inaccurate data capture in patient records.
Mitigation Strategy
Use only the manual differential code if it replaces the automated differential.
Impact
Billing both 85025 and 85007 for the same encounter is considered unbundling.
Mitigation Strategy
Ensure only one differential code is billed per encounter.
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 with Differential/Platelet, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Complete Blood Count with Differential/Platelet
Use these documentation templates to ensure complete and accurate documentation for Complete Blood Count with Differential/Platelet. These templates include all required elements for proper coding and billing.
Evaluation of pancytopenia
Specialty: HematologyRequired Elements
- Patient demographics
- Reason for CBC
- Results with reference ranges
- Interpretation of findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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