Coding Polycythemia in ICD-9-CM and ICD-10-CM
THE TABLE BELOW illustrates how polycythemia is broken down in ICD-9-CM and ICD-10-CM.
ICD-9-CM INDEX TO DISEASES
Polycythemia (primary) (rubra) (vera)
ICD-10-CM INDEX TO DISEASES AND INJURIES
Polycythemia (secondary) D75.1
Based on this information, a facility might question whether
cases of polycythemia without further specification are currently being reported to the most appropriate code in ICD-9-CM or
whether cases of polycythemia without further specification
will be reported to the most appropriate code in ICD-10-CM. A
facility might identify a need to improve documentation of this
condition in order to ensure that it is reported with the most accurate and appropriate code.
Neoplasms of the Liver
In ICD-10-CM there are unique codes for liver cell carcinoma,
hepatoblastoma, angiosarcoma of liver, and other sarcomas of
liver. When coding these conditions in ICD-10-CM, it is useful
to have an awareness of the different codes for primary malignant neoplasms of the liver. ¢
1. National Cancer Institute. “What You Need to Know about
Leukemia.” NIH Publication No. 08-3775. November 25,
3. Medline Plus. “Polycythemia Vera.” May 2, 2011. www.
4. National Heart Lung and Blood Institute. “What Causes
Polycythemia Vera?” March 2011. www.nhlbi.nih.gov/
AHIMA. “Coding Assessment and Training Solutions (CATS)
Program ICD-10-CM A&P Focus: Neoplasms.” 2011.
National Cancer Institute. “Non-Hodgkin Lymphoma.” www.
National Cancer Institute. “SEER Training Modules:
National Center for Health Statistics. “International Classification of Diseases, Tenth Revision, Clinical Modification
Judy A. Bielby ( email@example.com) is a clinical assistant professor at the University of Kansas Medical Center School of Health Professions, Department
of Health Information Management, and a consultant with Durst and Associates.
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