Medical Coding

Category - ICD-10-CM Volumes 1 and 2

A patient with acute lymphoblastic leukemia is currently undergoing chemotherapy and radiation therapy and develops anemia as a result. He requires admission and a blood transfusion because of this complication caused by the chemotherapy. What ICD-10-CM codes should be used and what is the correct sequence?
  1. C91.10, D64.81, T45.1X5A
  2. C91.00, T45.1X5A, D64.81
  3. D64.81, C91.00, T45.1X5A
  4. T45.1X5A, D64.81, C91.00
Explanation
Answer: C - D64.81, C91.00, T45.1X5A is the correct code sequence for a patient who was admitted for anemia requiring a blood transfusion due to the chemotherapy, from the treatment he is undergoing for acute lymphoblastic leukemia. The anemia code is the primary code and is specific to the chemotherapy. The secondary code is the type of leukemia that he has; he is currently undergoing treatment, so he is not in remission. The last code is for an adverse effect of antineoplastic and immunosuppressive drugs, initial encounter.
C91.10 is incorrect because this is not the right code for acute lymphoblastic leukemia.
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