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How to Code Anemia Due to Neoplasm in ICD-10

• Victoria Jones

How to Code Anemia Due to Neoplasm in ICD-10

Scenario:

A patient has been discharged from the hospital with the diagnosis of anemia due to right kidney cancer. The patient is being admitted to home health for administration of IV medications to treat the anemia in the home. The kidney was previously removed; however, the cancer is also still being actively treated.

Codes:

M1021 a. Malignant neoplasm of right kidney: C64.1

M1023 b. Anemia in neoplastic disease: D63.0

M1023 c. Encounter for adjustment and management of vascular access device: Z45.2

M1023 d. Acquired absence of kidney: Z90.5

Rationale:

The primary focus of home health will be the anemia; however, coding guidelines instruct that if the anemia is due to cancer, the specific neoplasm should be coded first. This is followed by the anemia. Because the patient will be receiving IV therapy in the home, attention to the VAD is coded next. Lastly this is followed by the status of the removed kidney as this will likely impact the patient’s POC.

Victoria Jones, RN, HCS-D, HCS-H, COS-C

Assistant Director of Quality

Victoria joined PPS Plus after gaining experience in the emergency and critical care fields. Born in Florida, she has lived all along the east coast, as well as California, thanks to her husband serving in the US Navy. However, Victoria considers the Mississippi Gulf Coast her home. When she’s not reviewing patient charts, Victoria enjoys volunteering for local animal rescue organizations, shopping, and of course, spending time with her family and three children.