Coding, Classification and Reimbursement

Pancytopenia in acute leukemia

  • 1.  Pancytopenia in acute leukemia

    Posted 11-29-2018 02:17
    Dear all,

    If patient admitted for pancytopenia work-up and bone marrow biopsy was done confirms acute leukemia. During the stay blood transfusions provided. kindly suggest me whether pancytopenia is an integral to newly identified leukemia or should we report it additionally along with leukemia ?

    Anugu Srinivas
    Medical Coder
    Bachelor of pharmacy,CCS,COC

  • 2.  RE: Pancytopenia in acute leukemia

    Posted 11-29-2018 12:54
    Edited by Blake Guillot 11-29-2018 12:55
    "Your doctor will conduct a complete blood count (CBC) to determine if you have leukemia. This test may reveal if you have leukemic cells. Abnormal levels of white blood cells and abnormally low red blood cell or platelet counts can also indicate leukemia." From the American Society of Hematology, emphasis mine.

    It doesn't seem that pancytopenia is an integral part so I think it would be reported separately.

    Blake Guillot, RHIT
    Medical Scribe