Acute promyelocytic leukemia, in relapse is a subtype of acute myeloid leukemia characterized by the presence of promyelocytes in the bone marrow and peripheral blood. This condition is clinically significant due to its association with coagulopathy and high mortality rates if not treated promptly. The ICD-10 Code C92.42 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this serious condition.
What is ICD-10 Code C92.42 for Acute promyelocytic leukemia, in relapse?
ICD-10 Code C92.42 represents Acute promyelocytic leukemia, in relapse, indicating a recurrence of this specific type of leukemia after a period of remission. This code is essential for documenting the patient's clinical status, guiding treatment decisions, and ensuring appropriate billing for healthcare services related to the management of this serious hematological malignancy.
ICD-10 Code C92.42 – Clinical Definition and Explanation of Acute promyelocytic leukemia, in relapse
Acute promyelocytic leukemia, in relapse, is caused by genetic mutations leading to the accumulation of promyelocytes in the bone marrow. This condition can progress rapidly, necessitating immediate medical intervention to prevent severe complications such as bleeding and infection. Its management often requires hospitalization and intensive treatment.
Key Clinical Features:
- Presence of promyelocytes in peripheral blood and bone marrow.
- Increased risk of bleeding due to coagulopathy.
- Symptoms may include fatigue, fever, and easy bruising.
- Relapse may occur after initial treatment, requiring reevaluation and adjustment of therapy.
ICD-10 Code C92.42 for Acute promyelocytic leukemia, in relapse – SOAP Notes & Clinical Use
ICD-10 Code C92.42 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It plays a critical role in both acute and chronic care settings, ensuring that healthcare providers can accurately capture the patient's clinical status and treatment response.
What Does ICD-10 Code C92.42 for Acute promyelocytic leukemia, in relapse Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C92.42 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Acute promyelocytic leukemia, in relapse. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code C92.42 – Acute promyelocytic leukemia, in relapse
The management of Acute promyelocytic leukemia, in relapse, requires urgent medical intervention, often necessitating hospitalization for intensive treatment.
Antibiotic Therapy:
- Not applicable as this condition is not infectious; treatment focuses on chemotherapy.
- Consideration of supportive antibiotics if febrile neutropenia occurs.
Supportive Care:
- Transfusions of platelets and red blood cells as needed.
- Management of coagulopathy with appropriate agents.
- Monitoring for complications such as infection and bleeding.
Infection Control:
- Strict hand hygiene and use of personal protective equipment (PPE).
- Isolation precautions for neutropenic patients.
- Regular monitoring for signs of infection.
How to Document Symptoms of Acute promyelocytic leukemia, in relapse (ICD-10 C92.42) in SOAP Notes
Subjective:
- Patient reports increased fatigue and weakness.
- History of easy bruising and bleeding gums.
- Recent episodes of fever and night sweats.
- Patient expresses concern about recurrence of leukemia.
Objective:
- Physical examination reveals pallor and petechiae.
- Complete blood count shows thrombocytopenia and leukopenia.
- Bone marrow biopsy confirms the presence of promyelocytes.
- Vital signs indicate mild fever and tachycardia.
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 Acute promyelocytic leukemia, in relapse (ICD-10 Code C92.42)
Assessment:
- Diagnosis: Acute promyelocytic leukemia, in relapse (ICD-10 C92.42).
- Severity: High risk due to coagulopathy and potential for rapid deterioration.
- Triggers: Previous treatment history and genetic predisposition.
- Complications: Risk of bleeding and infection.
Plan:
- Initiate chemotherapy regimen as per protocol.
- Administer supportive care including transfusions.
- Monitor blood counts and clinical status closely.
- Schedule follow-up appointments for ongoing assessment.
Treatment & Plan Section for ICD-10 Code C92.42 – Acute promyelocytic leukemia, in relapse
- First-line pharmacologic treatment includes all-trans retinoic acid (ATRA) and arsenic trioxide.
- Non-pharmacologic strategies include nutritional support and psychosocial counseling.
- Monitoring includes regular complete blood counts and assessment of symptoms.
- Follow-up practices involve scheduled visits for treatment response evaluation.
Using ICD-10 Code C92.42 for Acute promyelocytic leukemia, in relapse 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 C92.42 based on standard medical coding practices.
Related ICD-10 Codes Often Used with Acute promyelocytic leukemia, in relapse
ICD-10 Code C92.42 in Medical Billing and Insurance for Acute promyelocytic leukemia, in relapse
ICD-10 Code C92.42 is crucial for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure comprehensive documentation of the patient's clinical status and treatment plan.
- Use this code in conjunction with appropriate CPT codes for chemotherapy administration.
- Document any complications or additional diagnoses to support the claim.
- Review payer-specific guidelines for coding and billing requirements.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push, single or initial substance. |
| 36415 | Collection of venous blood by venipuncture. |
| 85025 | Complete blood count with automated differential white blood cell count. |
| 88305 | Pathology examination of tissue for diagnosis. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C92.42 for Acute promyelocytic leukemia, in relapse
What are the common symptoms of Acute promyelocytic leukemia, in relapse?
Common symptoms include fatigue, fever, easy bruising, and bleeding. Patients may also experience weight loss and night sweats, indicating the need for prompt medical evaluation.
How is Acute promyelocytic leukemia, in relapse treated?
Treatment typically involves chemotherapy with all-trans retinoic acid (ATRA) and arsenic trioxide, along with supportive care to manage complications such as bleeding and infection.
What is the significance of documenting ICD-10 Code C92.42?
Documenting ICD-10 Code C92.42 is crucial for accurate billing, ensuring appropriate treatment plans, and facilitating communication among healthcare providers regarding the patient's condition.
When should this code be used in clinical documentation?
This code should be used when a patient is diagnosed with Acute promyelocytic leukemia, in relapse, particularly after a previous remission, to accurately reflect their current clinical status.
