ICD-10 Coding for Lymphoproliferative Disorder(D47.Z1, D76.1)
Complete ICD-10-CM coding and documentation guide for Lymphoproliferative Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lymphoproliferative Disorder
D47.Z1Primary Range
Post-transplant lymphoproliferative disorder
Primary code for PTLD, indicating lymphoproliferative disorder post-transplant.
Malignant neoplasms of lymphoid, hematopoietic and related tissue
Includes various lymphomas and related conditions, relevant for differential diagnosis.
Other specified diseases with participation of lymphoreticular and reticulohistiocytic tissue
Includes Autoimmune Lymphoproliferative Syndrome (ALPS).
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D47.Z1 | Post-transplant lymphoproliferative disorder | Use for lymphoproliferative disorders occurring post-transplant, confirmed by biopsy. |
|
| D76.1 | Other specified diseases with participation of lymphoreticular and reticulohistiocytic tissue | Use for ALPS with confirmed genetic testing and 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 lymphoproliferative disorder
Essential facts and insights about Lymphoproliferative Disorder
Primary ICD-10-CM Codes for lymphoproliferative disorder
Decision Criteria
clinical Criteria
- Biopsy-confirmed lymphoproliferative disorder post-transplant
documentation Criteria
- Document EBV status and transplant details
Applicable To
- PTLD
Excludes
- Lymphoma (C81-C96)
Clinical Validation Requirements
- EBV status
- Transplant history
- Biopsy confirmation
Code-Specific Risks
- Incorrect use without transplant history
Coding Notes
- Ensure documentation includes transplant and EBV status.
D76.1 - Other specified diseases with participation of lymphoreticular and reticulohistiocytic tissue
Use for ALPS with confirmed genetic testing and clinical criteria.
Applicable To
- Autoimmune Lymphoproliferative Syndrome (ALPS)
Excludes
- Lymphoma (C81-C96)
Clinical Validation Requirements
- Double-negative T-cells
- FAS mutation
Coding Notes
Ensure genetic testing and clinical criteria are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lymphoproliferative Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D47.Z1.
Impact
Clinical: Misrepresentation of patient's clinical condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Review transplant history during coding., Ensure all relevant clinical details are documented.
Impact
Reimbursement: Potential denial of claims due to incomplete documentation., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always document transplant history when using D47.Z1.
Impact
Failure to document transplant status can lead to audit issues.
Mitigation Strategy
Ensure all transplant details are included 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 Lymphoproliferative Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lymphoproliferative Disorder
Use these documentation templates to ensure complete and accurate documentation for Lymphoproliferative Disorder. These templates include all required elements for proper coding and billing.
Post-transplant lymphoproliferative disorder
Specialty: OncologyRequired Elements
- Transplant history
- EBV status
- Biopsy results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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