ICD-10 Code C94.02 | Acute erythroid leukemia, in relapse Symptoms, Diagnosis, Billing

Acute erythroid leukemia, in relapse is a hematological malignancy characterized by the proliferation of erythroid progenitor cells in the bone marrow. This condition is clinically significant due to its aggressive nature and poor prognosis, necessitating accurate diagnosis and timely intervention. The ICD-10 Code C94.02 facilitates precise documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code C94.02 for Acute erythroid leukemia, in relapse?

ICD-10 Code C94.02 represents Acute erythroid leukemia, in relapse, a subtype of acute myeloid leukemia characterized by the re-emergence of erythroid blasts in the bone marrow after a period of remission. This code should be used in clinical documentation and billing when a patient presents with signs of relapse following initial treatment, ensuring accurate tracking of the disease's progression and management.

ICD-10 Code C94.02 – Clinical Definition and Explanation of Acute erythroid leukemia, in relapse

Acute erythroid leukemia, in relapse is caused by genetic mutations leading to uncontrolled proliferation of erythroid cells. The condition can progress rapidly, resulting in severe anemia, thrombocytopenia, and leukopenia, necessitating immediate medical attention. Early recognition and intervention are critical for improving patient outcomes.

Key Clinical Features:

• Presence of erythroid blasts in peripheral blood and bone marrow.
• Symptoms of anemia, including fatigue and pallor.
• Thrombocytopenia leading to increased bleeding and bruising.
• Leukopenia resulting in increased susceptibility to infections.

ICD-10 Code C94.02 for Acute erythroid leukemia, in relapse – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code C94.02 is utilized to document the patient's symptoms, assessment findings, and treatment plans. It plays a crucial role in both acute and chronic care settings, ensuring comprehensive documentation of the patient's clinical status and facilitating appropriate management strategies.

What Does ICD-10 Code C94.02 for Acute erythroid leukemia, in relapse Mean in SOAP Notes?

ICD-10 Code C94.02 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Acute erythroid leukemia, in relapse. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C94.02 – Acute erythroid leukemia, in relapse

Acute erythroid leukemia, in relapse requires urgent medical intervention, often necessitating hospitalization for intensive treatment.

Antibiotic Therapy:

• Ciprofloxacin: First-line antibiotic for prophylaxis, typically for 7-14 days.
• Piperacillin-tazobactam: Alternative for febrile neutropenia, duration based on clinical response.
• Vancomycin: Used for suspected or confirmed infections, duration based on culture results.

Supportive Care:

• Transfusion of red blood cells to manage anemia.
• Platelet transfusions for thrombocytopenia.
• Growth factors like erythropoietin to stimulate red blood cell production.

Infection Control:

• Strict hand hygiene protocols to prevent infection.
• Isolation precautions for neutropenic patients.
• Monitoring for signs of infection and prompt initiation of antibiotics.

How to Document Symptoms of Acute erythroid leukemia, in relapse (ICD-10 C94.02) in SOAP Notes

Subjective:

• Patient reports increased fatigue and weakness over the past week.
• History of recurrent infections since last treatment.
• Complaints of easy bruising and prolonged bleeding from minor cuts.

Objective:

• Vital signs: Temperature 100.4°F, heart rate 110 bpm.
• CBC shows hemoglobin 8 g/dL, platelets 30,000/mm³, leukocytes 2,000/mm³.
• Bone marrow biopsy reveals >20% erythroid blasts.

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SOAP Note Guidelines for Diagnosing Acute erythroid leukemia, in relapse (ICD-10 Code C94.02)

Assessment:

• Diagnosis: Acute erythroid leukemia, in relapse (ICD-10 Code C94.02).
• Severity: High, due to significant cytopenias and risk of complications.
• Contributing factors: Previous treatment history and current infection.

Plan:

• Initiate chemotherapy regimen as per protocol.
• Administer supportive care including transfusions and antibiotics.
• Schedule follow-up CBC in 48 hours to monitor response.

Treatment & Plan Section for ICD-10 Code C94.02 – Acute erythroid leukemia, in relapse

• First-line pharmacologic treatments include cytotoxic chemotherapy.
• Non-pharmacologic strategies involve nutritional support and psychosocial counseling.
• Monitoring includes regular CBCs and assessment of response to treatment.
• Follow-up practices should include scheduled visits for ongoing evaluation.

Using ICD-10 Code C94.02 for Acute erythroid 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 C94.02 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Acute erythroid leukemia, in relapse

• C94.01 – Acute erythroid leukemia, not in relapse
• C92.00 – Acute myeloid leukemia, not otherwise specified
• C92.01 – Acute myeloid leukemia, in remission
• C93.00 – Acute lymphoblastic leukemia, not otherwise specified

ICD-10 Code C94.02 in Medical Billing and Insurance for Acute erythroid leukemia, in relapse

ICD-10 Code C94.02 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed clinical findings and treatment plans.
• Use this code in settings where acute management of leukemia is provided.
• Highlight key chart elements such as lab results and treatment responses.

Common CPT Pairings: