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D72.810
ICD-10-CM
Lymphocytopenia

Understanding lymphocytopenia, its diagnosis, and clinical implications is crucial for healthcare professionals. This resource provides information on lymphocyte count, absolute lymphocyte count ALC, low lymphocyte count causes, symptoms of lymphocytopenia, and the associated ICD 10 code. Learn about lymphocytopenia treatment, management, and the role of medical coding in accurate documentation for this condition. Explore relevant clinical documentation improvement CDI strategies and best practices for healthcare providers.

Also known as

Lymphopenia
Low lymphocyte count

Diagnosis Snapshot

Key Facts
  • Definition : Low lymphocyte count in the blood, increasing infection risk.
  • Clinical Signs : Frequent or severe infections, fatigue, swollen lymph nodes, enlarged spleen.
  • Common Settings : Primary immunodeficiency, autoimmune diseases, bone marrow disorders, medication side effects.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D72.810 Coding
D72

Other immunodeficiencies

Includes various immunodeficiencies like lymphocytopenia.

R70-R79

Abnormalities of white blood cells

Covers abnormal white blood cell counts including lymphocytopenia.

D80-D89

Disorders involving the immune mechanism

Includes conditions affecting the immune system which can lead to lymphocytopenia.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the lymphocytopenia due to a drug or other external agent?

  • Yes

    Is the agent specified?

  • No

    Is it due to a disease or other condition?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Low lymphocyte count
Severe Combined Immunodeficiency (SCID)
Acquired Immunodeficiency Syndrome (AIDS)

Documentation Best Practices

Documentation Checklist
  • Lymphocyte count <1500/mcL (adult)
  • Document symptom onset and duration
  • Include related diagnoses like HIV, SLE
  • Specify lymphocyte subsets if available
  • Medication history impacting lymphocytes

Coding and Audit Risks

Common Risks
  • Unspecified Lymphocytopenia

    Coding lymphocytopenia without specifying cause (e.g., drug-induced, disease-related) leads to inaccurate severity and reimbursement.

  • Missed Secondary Lymphocytopenia

    Overlooking lymphocytopenia as a secondary condition to another diagnosis (e.g., HIV, chemotherapy) impacts quality metrics and risk adjustment.

  • Unvalidated Lymphocytopenia

    Coding lymphocytopenia based solely on lab results without clinical validation in documentation can trigger denials and compliance issues.

Mitigation Tips

Best Practices
  • Document lymphocytopenia etiology: ICD-10 D72.810, SNOMED CT 127034005 for accurate coding.
  • Review medications: Drug-induced lymphopenia impacts CDI, ensure accurate problem list updates.
  • Monitor absolute lymphocyte count (ALC): Essential for severity assessment, aids compliant care.
  • Investigate underlying cause: Infection, autoimmune disease? Complete workup for optimal CDI.
  • Consider nutritional status: Malnutrition link, optimize for improved outcomes, compliant documentation.

Clinical Decision Support

Checklist
  • Verify absolute lymphocyte count <1000/mcL (ICD-10: D72.810)
  • Review patient medications (drug-induced lymphopenia: T45.1X5A)
  • Assess for signs/symptoms of infection (patient safety)
  • Check complete blood count (CBC) and differential results

Reimbursement and Quality Metrics

Impact Summary
  • Lymphocytopenia reimbursement hinges on accurate ICD-10 coding (D72.8-) and supporting documentation for optimal payer reimbursements.
  • Quality metrics: Lymphocytopenia impacts severity scores, affecting hospital rankings and potential value-based care payments.
  • Coding accuracy crucial: Miscoding lymphocytopenia can lead to claim denials, impacting revenue cycle and hospital finances.
  • Hospital reporting: Accurate lymphocytopenia diagnosis data is vital for public health surveillance and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code primary cause of lymphocytopenia
  • Document lymphocyte count and dates
  • Query physician if etiology unclear
  • Check ICD-10-CM guidelines for D72
  • Consider SNOMED CT for specificity

Documentation Templates

Patient presents with signs and symptoms suggestive of lymphocytopenia, including recurrent infections, fatigue, and enlarged lymph nodes.  Differential diagnosis includes viral infections (e.g., HIV, influenza, Epstein-Barr virus), autoimmune disorders (e.g., lupus, rheumatoid arthritis),  malnutrition,  bone marrow disorders (e.g., aplastic anemia, leukemia),  and iatrogenic causes (e.g., chemotherapy, radiation therapy, immunosuppressive medications).  Complete blood count (CBC) with differential reveals an absolute lymphocyte count (ALC) below the reference range, confirming the diagnosis of lymphocytopenia.  Further laboratory investigations, such as immunophenotyping and lymphocyte subset analysis, may be indicated to determine the underlying etiology.  Patient education regarding infection prevention strategies is crucial.  Treatment will focus on addressing the underlying cause of the low lymphocyte count and may include management of infections, immunomodulatory therapy, or other targeted interventions based on the specific etiology.  ICD-10 code D72.829 (Other specified lymphocytopenia) is appropriate for this encounter, along with any additional codes reflecting associated conditions or complications.  Follow-up appointments will be scheduled to monitor lymphocyte counts and overall clinical status.  Prognosis depends on the underlying cause and response to treatment.