ICD-10 Coding for Lymphoblastic Leukemia(C91.00, C91.01, C91.02)
Complete ICD-10-CM coding and documentation guide for Lymphoblastic Leukemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lymphoblastic Leukemia
C91.0-C91.02Primary Range
Acute lymphoblastic leukemia codes
This range covers all stages of acute lymphoblastic leukemia, including remission and relapse.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C91.00 | Acute lymphoblastic leukemia not having achieved remission | Use when the patient has not achieved remission post-treatment. |
|
| C91.01 | Acute lymphoblastic leukemia, in remission | Use when the patient is in complete remission. |
|
| C91.02 | Acute lymphoblastic leukemia, in relapse | Use when the patient experiences a relapse. |
|
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 lymphoblastic leukemia
Essential facts and insights about Lymphoblastic Leukemia
Primary ICD-10-CM Codes for lymphoblastic leukemia
Decision Criteria
clinical Criteria
- Presence of ≥20% blasts in bone marrow
Applicable To
- T-cell precursor leukemia
- B-cell precursor leukemia
Clinical Validation Requirements
- Bone marrow biopsy showing ≥20% blasts
- Failed induction therapy
- Persistent lymphoblasts
Code-Specific Risks
- Misclassification if remission status is not clearly documented.
Coding Notes
- Ensure documentation specifies 'not in remission' status.
C91.01 - Acute lymphoblastic leukemia, in remission
Use when the patient is in complete remission.
Applicable To
- Complete hematologic remission
Excludes
- Relapse (C91.02)
Clinical Validation Requirements
- No detectable blasts on flow cytometry
- Complete hematologic remission
Coding Notes
Ensure remission status is clearly documented.
C91.02 - Acute lymphoblastic leukemia, in relapse
Use when the patient experiences a relapse.
Applicable To
- Relapsed disease
Excludes
- In remission (C91.01)
Clinical Validation Requirements
- Relapse confirmed by bone marrow biopsy
- Reappearance of CD19+/CD10+ blasts
Coding Notes
Ensure relapse status is confirmed by clinical findings.
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.
Chronic lymphocytic leukemia
C91.1Acute lymphoblastic leukemia, in relapse
C91.02Acute myeloid leukemia
C92.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lymphoblastic Leukemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C91.00.
Impact
Clinical: Incomplete clinical picture., Regulatory: Potential non-compliance with coding standards., Financial: Possible denial of claims.
Mitigation Strategy
Ensure genetic markers are documented in the patient's record., Review lab reports for genetic findings.
Impact
Reimbursement: Incorrect coding can lead to improper reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query for specific remission status: not achieved, in remission, or in relapse.
Impact
Inadequate documentation of remission status can lead to audit issues.
Mitigation Strategy
Implement regular documentation audits and training for clinical staff.
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 Lymphoblastic Leukemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lymphoblastic Leukemia
Use these documentation templates to ensure complete and accurate documentation for Lymphoblastic Leukemia. These templates include all required elements for proper coding and billing.
Initial Diagnosis of ALL
Specialty: OncologyRequired Elements
- Diagnosis confirmation
- Remission status
- Genetic markers
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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