ICD-10 Code C90.10 | Plasma cell leukemia not having achieved remission Symptoms, Diagnosis, Billing

Plasma cell leukemia not having achieved remission is a rare and aggressive form of leukemia characterized by the proliferation of malignant plasma cells in the blood and bone marrow. This condition is clinically significant as it often leads to severe complications, including anemia, infections, and organ dysfunction. Accurate coding with ICD-10 Code C90.10 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code C90.10 for Plasma cell leukemia not having achieved remission?

ICD-10 Code C90.10 represents Plasma cell leukemia not having achieved remission, indicating a state where the disease has not responded to treatment. This condition is a progression of multiple myeloma and is marked by high levels of circulating malignant plasma cells. The code should be used in clinical documentation and billing when a patient presents with this specific diagnosis, ensuring accurate representation of the patient's health status and treatment needs.

ICD-10 Code C90.10 – Clinical Definition and Explanation of Plasma cell leukemia not having achieved remission

Plasma cell leukemia not having achieved remission is caused by the uncontrolled proliferation of malignant plasma cells, leading to significant hematological abnormalities and systemic complications. The condition requires urgent medical attention due to its aggressive nature and potential for rapid deterioration.

Key Clinical Features:

• Presence of high levels of circulating plasma cells in the blood.
• Symptoms may include fatigue, recurrent infections, and bone pain.
• Laboratory findings often show anemia, hypercalcemia, and renal impairment.
• Typically occurs in older adults, with a higher prevalence in males.

ICD-10 Code C90.10 for Plasma cell leukemia not having achieved remission – SOAP Notes & Clinical Use

ICD-10 Code C90.10 is utilized in SOAP notes to document the patient's symptoms, assessment, and treatment plan. It is relevant in both acute and chronic care settings, facilitating clear communication among healthcare providers and ensuring comprehensive patient management.

What Does ICD-10 Code C90.10 for Plasma cell leukemia not having achieved remission Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C90.10 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C90.10 – Plasma cell leukemia not having achieved remission

Plasma cell leukemia not having achieved remission necessitates immediate and aggressive treatment strategies to manage the disease effectively.

Antibiotic Therapy:

• Doxycycline 100 mg orally twice daily for 7-14 days.
• Ciprofloxacin 500 mg orally twice daily for 7-14 days.
• Vancomycin 15 mg/kg IV every 12 hours for severe infections.

Supportive Care:

• Transfusion of red blood cells for anemia management.
• Intravenous fluids to maintain hydration and renal function.
• Pain management strategies, including opioids and adjunct therapies.

Infection Control:

• Implement strict hand hygiene protocols.
• Use of masks and isolation for patients with active infections.
• Prophylactic antibiotics during periods of neutropenia.

How to Document Symptoms of Plasma cell leukemia not having achieved remission (ICD-10 C90.10) in SOAP Notes

Subjective:

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

Objective:

• Vital signs: BP 110/70 mmHg, HR 95 bpm, Temp 99.5°F.
• CBC shows hemoglobin 8.5 g/dL, platelets 120,000/mm³.
• Bone marrow biopsy reveals >20% plasma cells.
• Elevated serum creatinine at 2.1 mg/dL.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Plasma cell leukemia not having achieved remission (ICD-10 Code C90.10)

Assessment:

• Diagnosis: Plasma cell leukemia not having achieved remission, severe.
• ICD-10 Code: C90.10.
• Contributing factors include advanced age and history of multiple myeloma.
• Patient presents with significant anemia and renal impairment.

Plan:

• Initiate chemotherapy regimen with bortezomib and dexamethasone.
• Schedule for supportive transfusions as needed.
• Educate patient on signs of infection and when to seek care.
• Follow up in one week for reassessment of treatment response.

Treatment & Plan Section for ICD-10 Code C90.10 – Plasma cell leukemia 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 weekly assessments until stable.

Using ICD-10 Code C90.10 for Plasma cell leukemia 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.
• List CPT codes that are commonly billed with ICD-10 Code C90.10 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Plasma cell leukemia not having achieved remission

• C90.11 – Plasma cell leukemia in remission
• C90.12 – Plasma cell leukemia, not otherwise specified
• C90.20 – Multiple myeloma, not having achieved remission
• C90.21 – Multiple myeloma in remission

ICD-10 Code C90.10 in Medical Billing and Insurance for Plasma cell leukemia not having achieved remission

ICD-10 Code C90.10 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and treatment plans.
• Use this code in inpatient settings to reflect the severity of the condition.
• Highlight key chart elements such as lab results and treatment responses.
• Maintain compliance with payer requirements for accurate coding.

Common CPT Pairings: