ICD-10 Code C90.00 | Multiple myeloma not having achieved remission Symptoms, Diagnosis, Billing

Multiple myeloma not having achieved remission is a hematological malignancy characterized by the proliferation of monoclonal plasma cells in the bone marrow. This condition is clinically significant as it leads to various complications, including bone lesions, renal impairment, and immune dysfunction. The ICD-10 Code C90.00 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat patients with this serious condition.

What is ICD-10 Code C90.00 for Multiple myeloma not having achieved remission?

ICD-10 Code C90.00 represents Multiple myeloma not having achieved remission, indicating that the disease is active and has not responded to treatment. This code is used in clinical documentation and billing when a patient presents with ongoing symptoms or complications related to multiple myeloma, ensuring that healthcare providers can accurately capture the severity and management of the disease.

ICD-10 Code C90.00 – Clinical Definition and Explanation of Multiple myeloma not having achieved remission

Multiple myeloma not having achieved remission is caused by the uncontrolled growth of malignant plasma cells, leading to the production of abnormal immunoglobulins. The disease can progress to cause significant morbidity, including anemia, hypercalcemia, and renal failure, necessitating prompt medical intervention.

Key Clinical Features:

• Bone pain and lesions due to osteolytic activity
• Anemia and fatigue from bone marrow infiltration
• Hypercalcemia resulting from bone resorption
• Renal impairment due to light chain deposition
• Increased susceptibility to infections due to immune dysfunction

ICD-10 Code C90.00 for Multiple myeloma not having achieved remission – SOAP Notes & Clinical Use

ICD-10 Code C90.00 is utilized in SOAP notes to document the ongoing symptoms, assessment findings, and treatment plans for patients with multiple myeloma not having achieved remission. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code C90.00 for Multiple myeloma not having achieved remission Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C90.00 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of multiple myeloma not having achieved remission. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C90.00 – Multiple myeloma not having achieved remission

The management of multiple myeloma not having achieved remission requires urgent medical attention and may involve various treatment modalities.

Antibiotic Therapy:

• First-line: Piperacillin-tazobactam, 4.5 g IV every 6 hours for 7-14 days
• Alternative: Meropenem, 1 g IV every 8 hours for 7-14 days
• Consideration of prophylactic antibiotics in immunocompromised patients

Supportive Care:

• Pain management with analgesics or opioids as needed
• Hydration and renal support for acute kidney injury
• Transfusion of packed red blood cells for anemia
• Bisphosphonates for bone health and fracture prevention

Infection Control:

• Strict hand hygiene and use of masks in healthcare settings
• Isolation precautions for patients with active infections
• Vaccination against preventable infections, such as influenza and pneumococcus

How to Document Symptoms of Multiple myeloma not having achieved remission (ICD-10 C90.00) in SOAP Notes

Subjective:

• Patient reports persistent bone pain, particularly in the back and ribs.
• Complaints of fatigue and weakness over the past month.
• History of recurrent infections requiring antibiotic treatment.
• Patient expresses concern about weight loss and decreased appetite.

Objective:

• Vital signs: BP 120/80 mmHg, HR 88 bpm, Temp 98.6°F.
• Physical exam reveals pallor and tenderness over the lumbar spine.
• Laboratory results show elevated serum creatinine and calcium levels.
• Bone marrow biopsy confirms the presence of abnormal plasma cells.

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SOAP Note Guidelines for Diagnosing Multiple myeloma not having achieved remission (ICD-10 Code C90.00)

Assessment:

• Diagnosis: Multiple myeloma not having achieved remission, severe.
• ICD-10 Code: C90.00.
• Contributing factors include renal impairment and recurrent infections.
• Patient's symptoms indicate significant disease activity.

Plan:

• Initiate chemotherapy regimen as per oncologist's recommendation.
• Administer supportive care for anemia and renal function.
• Educate patient on signs of infection and when to seek care.
• Schedule follow-up appointment in 4 weeks to reassess treatment response.

Treatment & Plan Section for ICD-10 Code C90.00 – Multiple myeloma not having achieved remission

• First-line pharmacologic treatments include bortezomib and dexamethasone.
• Non-pharmacologic strategies involve nutritional support and physical therapy.
• Monitoring includes regular CBC and renal function tests.
• Follow-up practices should include imaging studies to assess bone lesions.

Using ICD-10 Code C90.00 for Multiple myeloma not having achieved remission in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Only list CPT codes that are commonly billed with ICD-10 Code C90.00 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Multiple myeloma not having achieved remission

• C90.01 – Multiple myeloma in remission
• C90.02 – Multiple myeloma with acute kidney failure

ICD-10 Code C90.00 in Medical Billing and Insurance for Multiple myeloma not having achieved remission

ICD-10 Code C90.00 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and treatment plans.
• Use this code in conjunction with relevant CPT codes for comprehensive billing.
• Highlight any complications or comorbidities in the medical record.
• Maintain clear and concise notes to support the ICD-10 claim.

Common CPT Pairings: