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ICD-10 Code C92.52 | Acute myelomonocytic leukemia, in relapse Symptoms, Diagnosis, Billing

Acute myelomonocytic leukemia, in relapse is a hematological malignancy characterized by the proliferation of myelomonocytic cells in the bone marrow and peripheral blood. This condition is clinically significant as it indicates a return of the disease after a period of remission, necessitating prompt and accurate diagnosis for effective treatment. The ICD-10 Code C92.52 facilitates precise documentation, billing, and public health reporting, ensuring that healthcare providers can track and manage this serious condition effectively.

What is ICD-10 Code C92.52 for Acute myelomonocytic leukemia, in relapse?

ICD-10 Code C92.52 represents Acute myelomonocytic leukemia, in relapse, a subtype of acute myeloid leukemia characterized by the presence of myeloblasts and monoblasts in the blood and bone marrow. This code should be used when documenting a patient's return of symptoms or disease progression after initial treatment, ensuring accurate billing and continuity of care in clinical documentation.

ICD-10 Code C92.52 – Clinical Definition and Explanation of Acute myelomonocytic leukemia, in relapse

Acute myelomonocytic leukemia, in relapse is caused by genetic mutations leading to uncontrolled proliferation of myelomonocytic cells. The disease can progress rapidly, resulting in severe complications such as anemia, thrombocytopenia, and increased susceptibility to infections, necessitating immediate medical intervention.

Key Clinical Features:

  • Presence of myeloblasts and monoblasts in peripheral blood and bone marrow.
  • Symptoms may include fatigue, fever, and bleeding tendencies.
  • Increased risk of infections due to bone marrow failure.
  • Typically occurs in adults, with a higher incidence in males.

ICD-10 Code C92.52 for Acute myelomonocytic leukemia, in relapse – SOAP Notes & Clinical Use

ICD-10 Code C92.52 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is crucial for both acute and chronic care settings, ensuring that the patient's condition is accurately recorded and managed throughout their treatment journey.

What Does ICD-10 Code C92.52 for Acute myelomonocytic leukemia, in relapse Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C92.52 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Acute myelomonocytic leukemia, in relapse. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C92.52 – Acute myelomonocytic leukemia, in relapse

Acute myelomonocytic leukemia, in relapse requires urgent medical attention, often necessitating hospitalization for intensive treatment.

Antibiotic Therapy:

  • Ciprofloxacin 500 mg orally twice daily for 7-14 days.
  • Piperacillin-tazobactam 3.375 g IV every 6 hours for 7-14 days.
  • Vancomycin 1 g IV every 12 hours for 7-14 days.

Supportive Care:

  • Transfusion of red blood cells and platelets as needed.
  • Administration of growth factors like G-CSF to stimulate bone marrow recovery.
  • Management of febrile neutropenia with appropriate antibiotics.

Infection Control:

  • Strict hand hygiene protocols to prevent infection.
  • Isolation precautions for patients with neutropenia.
  • Monitoring for signs of infection and prompt intervention.

How to Document Symptoms of Acute myelomonocytic leukemia, in relapse (ICD-10 C92.52) in SOAP Notes

Subjective:

  • Patient reports increased fatigue and weakness over the past week.
  • History of recurrent fevers and night sweats.
  • Complaints of easy bruising and bleeding from gums.
  • Denies recent infections or travel history.

Objective:

  • Vital signs: Temperature 101°F, Heart rate 110 bpm.
  • CBC shows leukocytosis with myeloblasts and thrombocytopenia.
  • Physical examination reveals pallor and petechiae.
  • Bone marrow biopsy confirms relapse of acute myelomonocytic leukemia.
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SOAP Note Guidelines for Diagnosing Acute myelomonocytic leukemia, in relapse (ICD-10 Code C92.52)

Assessment:

  • Diagnosis: Acute myelomonocytic leukemia, in relapse (ICD-10 Code C92.52).
  • Severity: High, due to significant cytopenias and risk of complications.
  • Contributing factors: Previous treatment history and current symptoms.
  • Monitoring for potential complications such as infection and bleeding.

Plan:

  • Initiate chemotherapy regimen as per oncologist's protocol.
  • Administer supportive care including transfusions and antibiotics.
  • Educate patient on signs of infection and when to seek immediate care.
  • Schedule follow-up appointments for monitoring response to treatment.

Treatment & Plan Section for ICD-10 Code C92.52 – Acute myelomonocytic leukemia, in relapse

  • First-line pharmacologic treatments include cytarabine and anthracyclines.
  • Non-pharmacologic strategies involve nutritional support and psychosocial counseling.
  • Monitoring practices include regular CBC checks and assessment of treatment response.
  • Follow-up appointments should be scheduled every 1-2 weeks during treatment.

Using ICD-10 Code C92.52 for Acute myelomonocytic 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 C92.52 based on standard medical coding practices.

ICD-10 Code C92.52 in Medical Billing and Insurance for Acute myelomonocytic leukemia, in relapse

ICD-10 Code C92.52 is essential 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 the code in conjunction with relevant CPT codes for procedures and services rendered.
  • Maintain clear records of patient history and response to treatment for audit purposes.

Common CPT Pairings:

CPT CodeDescription
85027Complete blood count with differential.
36415Collection of venous blood by venipuncture.
85041Blood count, automated, with leukocyte differential.
88305Pathology examination of tissue, including bone marrow biopsy.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C92.52 for Acute myelomonocytic leukemia, in relapse

What are the common symptoms of Acute myelomonocytic leukemia, in relapse?

Common symptoms include fatigue, fever, easy bruising, and recurrent infections. Patients may also experience weight loss and night sweats, indicating disease progression.

How is Acute myelomonocytic leukemia, in relapse treated?

Treatment typically involves chemotherapy, supportive care, and possibly stem cell transplantation. Antibiotics may be administered to prevent or treat infections.

When should ICD-10 Code C92.52 be used?

This code should be used when documenting a patient's relapse of Acute myelomonocytic leukemia after a period of remission, ensuring accurate clinical and billing records.

What is the importance of accurate coding for Acute myelomonocytic leukemia, in relapse?

Accurate coding is crucial for appropriate treatment planning, reimbursement, and tracking of disease prevalence and outcomes in public health.

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