ICD-10 Coding for Secondary Polycythemia(D75.1)
Complete ICD-10-CM coding and documentation guide for Secondary Polycythemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Secondary Polycythemia
D75-D77Primary Range
Other diseases of blood and blood-forming organs
This range includes codes for various blood disorders, with D75.1 specifically for secondary polycythemia.
Key Information: ICD-10 code for secondary polycythemia
Essential facts and insights about Secondary Polycythemia
Primary ICD-10-CM Code for secondary polycythemia
Decision Criteria
clinical Criteria
- Elevated EPO levels with normal oxygen saturation
documentation Criteria
- Clear documentation linking polycythemia to an underlying condition
Applicable To
- Secondary erythrocytosis
Excludes
- Polycythemia vera (D45)
Clinical Validation Requirements
- Elevated EPO levels
- Absence of JAK2 mutation
- Documented underlying cause (e.g., hypoxia, tumor)
Code-Specific Risks
- Incorrectly coding without identifying the underlying cause
- Confusing with primary polycythemia (D45)
Coding Notes
- Ensure the underlying cause is documented and coded first to comply with sequencing rules.
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 Secondary Polycythemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D75.1.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Always specify the cause of polycythemia in documentation., Ensure lab results support the diagnosis.
Impact
Reimbursement: May lead to incorrect DRG assignment and affect reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Always code the underlying condition first, such as COPD or a tumor.
Impact
Failure to code the underlying condition first can lead to audit issues.
Mitigation Strategy
Ensure documentation clearly identifies the primary condition and sequence codes accordingly.
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 Secondary Polycythemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Secondary Polycythemia
Use these documentation templates to ensure complete and accurate documentation for Secondary Polycythemia. These templates include all required elements for proper coding and billing.
Secondary polycythemia due to COPD
Specialty: PulmonologyRequired Elements
- Hemoglobin and hematocrit levels
- EPO levels
- JAK2 mutation status
- Underlying condition documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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