ICD-10 Coding for Myeloproliferative Neoplasm(D47.1, D45)
Complete ICD-10-CM coding and documentation guide for Myeloproliferative Neoplasm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Myeloproliferative Neoplasm
D45-D47Primary Range
Other myeloproliferative diseases
This range includes specific codes for different types of myeloproliferative neoplasms, such as polycythemia vera and essential thrombocythemia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D47.1 | Chronic myeloproliferative disease, unspecified | Use when the specific type of myeloproliferative neoplasm is not yet determined. |
|
| D45 | Polycythemia vera | Use when polycythemia vera is confirmed by WHO 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 myeloproliferative neoplasm
Essential facts and insights about Myeloproliferative Neoplasm
Primary ICD-10-CM Codes for myeloproliferative neoplasm
Decision Criteria
clinical Criteria
- Lack of specific subtype identification
Applicable To
- Myeloproliferative neoplasm, NOS
Clinical Validation Requirements
- Negative JAK2/CALR/MPL mutation tests
- Bone marrow morphology description
Code-Specific Risks
- Risk of under-coding if specific subtype is known but not documented.
Coding Notes
- Ensure to update the code once the specific subtype of MPN is confirmed.
D45 - Polycythemia vera
Use when polycythemia vera is confirmed by WHO criteria.
Applicable To
- Vaquez's disease
Excludes
- Secondary polycythemia (D75.1)
Clinical Validation Requirements
- Hemoglobin >16.0 g/dL (female) or >16.5 g/dL (male)
- JAK2 V617F mutation
- Bone marrow biopsy showing trilineage hyperplasia
Coding Notes
Ensure all WHO criteria are documented before coding.
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 Myeloproliferative Neoplasm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D47.1.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential loss of reimbursement for specific treatments.
Mitigation Strategy
Regularly review patient records for updated diagnostic information., Implement alerts in EHR for code updates.
Impact
Reimbursement: May affect reimbursement rates due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Update the code to reflect the specific subtype once confirmed.
Impact
Risk of audits due to incorrect or unspecified coding of MPN subtypes.
Mitigation Strategy
Ensure thorough documentation and regular code reviews.
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 Myeloproliferative Neoplasm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Myeloproliferative Neoplasm
Use these documentation templates to ensure complete and accurate documentation for Myeloproliferative Neoplasm. These templates include all required elements for proper coding and billing.
Diagnosis of Polycythemia Vera
Specialty: HematologyRequired Elements
- JAK2 mutation status
- Hemoglobin levels
- Bone marrow biopsy results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Myeloproliferative Neoplasm? Ask your questions below.