ICD-10 Code D61.818

The ICD-10-CM code D61.818 refers to “other pancytopenia,” and appears in the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM). Pancytopenia is a medical condition characterized by the reduction of red blood cells, white blood cells, and platelets. This condition can lead to a variety of symptoms and complications, making accurate coding essential for proper diagnosis and treatment planning.

D61.818 encompasses cases of pancytopenia that do not fall under more specific categories within the ICD-10-CM. Pancytopenia may result from various underlying causes, including bone marrow disorders, autoimmune diseases, infections, certain medications, or exposure to toxic substances. 

Patients with pancytopenia may experience a range of symptoms due to the deficiency of blood cells. Common symptoms include:

These symptoms can vary in severity depending on the extent of cell deficiency and the underlying cause.

While D61.818 is used for unspecified cases of pancytopenia, related codes include:

These codes help categorize pancytopenia based on specific causes or lack thereof.

When using the D61.818 code, ensure that the pancytopenia is not attributable to a more specific condition that has its own code. Accurate documentation of any known underlying causes is essential. Providers should use D61.818 when the pancytopenia is not specified as drug-induced or due to other underlying diseases for which pancytopenia is excluded.

One common pitfall in coding D61.818 is failing to document the pancytopenia’s underlying cause, which may lead to selecting an inappropriate code. Additionally, using this code when a more specific code is applicable can result in inaccurate medical records and potential insurance claims issues. Carefully review the excludes 1 note found at category D61.81 pancytopenia for conditions that may not be assigned with D61.818. If pancytopenia is present with any of the conditions listed in the excludes 1 note, assign only the referenced condition code, unless the provider has made it clear that the two conditions are unrelated to each other. 

Healthcare providers and medical coders can refer to the following resources for guidance on coding D61.818:

Use ICD-10-CM code D61.818 for cases of pancytopenia that do not fit into more specific categories. Proper use of this code involves thorough documentation and understanding of the patient’s condition. By avoiding common pitfalls and leveraging available resources, healthcare providers can ensure accurate coding, which is crucial for effective patient care and billing practices.

Tebra’s EHR+ gives you quick searches and Systematized Nomenclature of Medicine (SNOMED) field names for efficient code documentation. Plus, Tebra automatically saves ICD-10 to SNOMED mapping for future searches, streamlining your workflow.

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