ICD-10 Code C92.10 | Chronic myeloid leuk, BCR/ABL-positive, not achieve remis Symptoms, Diagnosis, Billing

Chronic myeloid leukemia (CML) is a hematological malignancy characterized by the overproduction of myeloid cells in the bone marrow. The BCR/ABL fusion gene, resulting from a translocation between chromosomes 9 and 22, is a hallmark of this condition. Patients with CML who do not achieve remission despite treatment face increased risks of disease progression and complications. The ICD-10 code C92.10 facilitates accurate diagnosis, documentation, and billing, ensuring proper tracking of this significant public health concern.

What is ICD-10 Code C92.10 for Chronic myeloid leuk, BCR/ABL-positive, not achieve remis?

ICD-10 Code C92.10 represents chronic myeloid leukemia that is BCR/ABL-positive and has not achieved remission. This code is used when documenting cases where patients continue to exhibit disease activity despite treatment efforts. Accurate use of this code is essential for clinical documentation, billing, and ensuring appropriate care management for affected individuals.

ICD-10 Code C92.10 – Clinical Definition and Explanation of Chronic myeloid leuk, BCR/ABL-positive, not achieve remis

Chronic myeloid leukemia, particularly the BCR/ABL-positive variant, is caused by a genetic mutation leading to the proliferation of myeloid cells. The disease typically progresses through phases, and failure to achieve remission indicates a need for intensified treatment and monitoring. Prompt recognition and intervention are crucial to manage symptoms and prevent complications.

Key Clinical Features:

• Presence of the Philadelphia chromosome (BCR/ABL fusion gene).
• Symptoms may include fatigue, splenomegaly, and night sweats.
• Progression can lead to acute transformation if untreated.
• Requires ongoing monitoring of blood counts and response to therapy.

ICD-10 Code C92.10 for Chronic myeloid leuk, BCR/ABL-positive, not achieve remis – SOAP Notes & Clinical Use

ICD-10 Code C92.10 is utilized in SOAP notes to document the patient's condition, including symptoms, assessments, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's ongoing disease status and response to therapy.

What Does ICD-10 Code C92.10 for Chronic myeloid leuk, BCR/ABL-positive, not achieve remis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C92.10 connects subjective patient reports and objective clinical findings to a formal diagnosis of chronic myeloid leukemia that has not achieved remission. This code supports continuity of care, facilitates accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C92.10 – Chronic myeloid leuk, BCR/ABL-positive, not achieve remis

Management of chronic myeloid leukemia that is BCR/ABL-positive and not in remission requires a multifaceted approach, including targeted therapies and supportive care.

Antibiotic Therapy:

• Not applicable as CML is not an infectious disease.

Supportive Care:

• Regular monitoring of blood counts and symptoms.
• Management of splenomegaly and associated discomfort.
• Psychosocial support for patients and families.

Infection Control:

• Standard precautions to prevent infections due to immunosuppression.
• Education on hygiene and avoiding exposure to infections.

How to Document Symptoms of Chronic myeloid leuk, BCR/ABL-positive, not achieve remis (ICD-10 C92.10) in SOAP Notes

Subjective:

• Patient reports persistent fatigue and weakness.
• Complaints of night sweats and unexplained weight loss.
• History of splenomegaly noted during previous visits.

Objective:

• CBC shows elevated white blood cell count.
• Physical examination reveals splenomegaly.
• Bone marrow biopsy confirms BCR/ABL-positive CML.

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SOAP Note Guidelines for Diagnosing Chronic myeloid leuk, BCR/ABL-positive, not achieve remis (ICD-10 Code C92.10)

Assessment:

• Diagnosis: Chronic myeloid leukemia, BCR/ABL-positive, not in remission.
• ICD-10 Code: C92.10.
• Contributing factors include non-compliance with therapy and disease progression.

Plan:

• Initiate second-line tyrosine kinase inhibitor therapy.
• Schedule regular follow-up appointments for monitoring.
• Educate patient on the importance of adherence to treatment.

Treatment & Plan Section for ICD-10 Code C92.10 – Chronic myeloid leuk, BCR/ABL-positive, not achieve remis

• First-line pharmacologic treatments include imatinib or dasatinib.
• Non-pharmacologic strategies involve lifestyle modifications and nutritional support.
• Monitoring includes regular CBCs and molecular testing for BCR/ABL levels.
• Follow-up practices should include assessments of treatment response and side effects.

Using ICD-10 Code C92.10 for Chronic myeloid leuk, BCR/ABL-positive, not achieve remis in Billing & SOAP Note Compliance

• Select accurate subcodes based on treatment response and complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Commonly billed CPT codes include 36415 (blood draw) and 85025 (CBC with differential).

Related ICD-10 Codes Often Used with Chronic myeloid leuk, BCR/ABL-positive, not achieve remis

• C92.11 – Chronic myeloid leuk, BCR/ABL-positive, in remission
• C92.12 – Chronic myeloid leuk, BCR/ABL-positive, acute transformation

ICD-10 Code C92.10 in Medical Billing and Insurance for Chronic myeloid leuk, BCR/ABL-positive, not achieve remis

ICD-10 Code C92.10 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and treatment response.
• Use the code in conjunction with relevant CPT codes for comprehensive billing.
• Maintain clear records of all clinical encounters to support claims.

Common CPT Pairings: