ICD-10 Code C95.02 | Acute leukemia of unspecified cell type, in relapse Symptoms, Diagnosis, Billing

Acute leukemia of unspecified cell type, in relapse is a hematological malignancy characterized by the rapid proliferation of immature blood cells. This condition is clinically significant due to its aggressive nature and potential for rapid deterioration. Accurate coding with ICD-10 Code C95.02 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code C95.02 for Acute leukemia of unspecified cell type, in relapse?

ICD-10 Code C95.02 represents Acute leukemia of unspecified cell type, in relapse, indicating a recurrence of the disease after a period of remission. This code is used when the specific type of leukemia is not identified, yet the patient exhibits signs of relapse. It is crucial for clinical documentation and billing to ensure accurate representation of the patient's condition and treatment needs.

ICD-10 Code C95.02 – Clinical Definition and Explanation of Acute leukemia of unspecified cell type, in relapse

Acute leukemia of unspecified cell type, in relapse, is caused by genetic mutations leading to uncontrolled proliferation of immature hematopoietic cells. The condition progresses rapidly, often requiring immediate medical intervention to prevent severe complications. Prompt recognition and treatment are critical to improving patient outcomes.

Key Clinical Features:

• Rapid onset of symptoms such as fatigue, fever, and bleeding.
• Presence of immature white blood cells in the blood or bone marrow.
• Increased susceptibility to infections due to compromised immune function.
• Potential for organ infiltration and associated complications.

ICD-10 Code C95.02 for Acute leukemia of unspecified cell type, in relapse – SOAP Notes & Clinical Use

ICD-10 Code C95.02 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It plays a vital role in both acute and chronic care settings, ensuring comprehensive documentation that supports clinical decision-making and billing processes.

What Does ICD-10 Code C95.02 for Acute leukemia of unspecified cell type, in relapse Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C95.02 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of acute 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 C95.02 – Acute leukemia of unspecified cell type, in relapse

Acute leukemia of unspecified cell type, in relapse, necessitates urgent medical intervention, often requiring hospitalization for intensive treatment.

Antibiotic Therapy:

• Ciprofloxacin: First-line for neutropenic fever, typically 7-14 days.
• Piperacillin-tazobactam: Alternative for broad-spectrum coverage, duration based on clinical response.
• Vancomycin: Consider for suspected MRSA, duration based on culture results.

Supportive Care:

• Transfusions of red blood cells and platelets to manage anemia and thrombocytopenia.
• Antiemetics for nausea and vomiting associated with chemotherapy.
• Hydration and electrolyte management to prevent complications.

Infection Control:

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

How to Document Symptoms of Acute leukemia of unspecified cell type, in relapse (ICD-10 C95.02) in SOAP Notes

Subjective:

• Patient reports increased fatigue and weakness over the past week.
• Complaints of recurrent fevers and night sweats.
• History of easy bruising and bleeding gums noted.
• Patient expresses concern about recent weight loss.

Objective:

• Vital signs: Temperature 101°F, heart rate 110 bpm.
• Physical examination reveals pallor and petechiae.
• Complete blood count shows leukopenia and thrombocytopenia.
• Bone marrow biopsy indicates increased blast cells.

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SOAP Note Guidelines for Diagnosing Acute leukemia of unspecified cell type, in relapse (ICD-10 Code C95.02)

Assessment:

• Diagnosis: Acute leukemia of unspecified cell type, in relapse, severe.
• ICD-10 Code: C95.02.
• Contributing factors: Previous remission, recent infection.

Plan:

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

Treatment & Plan Section for ICD-10 Code C95.02 – Acute leukemia of unspecified cell type, in relapse

• First-line pharmacologic treatments include cytotoxic chemotherapy agents.
• Non-pharmacologic strategies involve nutritional support and psychosocial counseling.
• Monitoring practices include regular blood counts and clinical assessments.
• Follow-up recommendations should include frequent evaluations for treatment response.

Using ICD-10 Code C95.02 for Acute leukemia of unspecified cell type, 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 C95.02 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Acute leukemia of unspecified cell type, in relapse

• C91.00 – Acute lymphoblastic leukemia, unspecified, in relapse
• C91.02 – Acute lymphoblastic leukemia, in relapse
• C92.00 – Acute myeloid leukemia, unspecified, in relapse

ICD-10 Code C95.02 in Medical Billing and Insurance for Acute leukemia of unspecified cell type, in relapse

ICD-10 Code C95.02 is critical for accurate billing 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 leukemia is diagnosed or treated.
• Highlight key chart elements such as lab results and treatment responses.

Common CPT Pairings: