2025 ICD-10-CM code C94.31
(Valid) Effective Date: N/A Malignant neoplasms of lymphoid, hematopoietic and related tissue - C94.31 Chapter 2: Neoplasms (C00-D49) Feed
Mast cell leukemia, in remission.
The medical necessity for treatment of mast cell leukemia must be clearly documented. This involves demonstrating the presence of the disease and the rationale for the chosen treatment approach, considering factors such as disease stage, patient's overall health, and potential benefits and risks of treatment.
The provider plays a crucial role in diagnosing and managing mast cell leukemia. This includes evaluating the patient's history, conducting a thorough physical exam, ordering and interpreting laboratory and imaging tests (such as CBC, peripheral smear, bone marrow biopsy, CT, MRI, and PET scans), determining the appropriate treatment plan (which may involve chemotherapy, targeted therapy, stem cell transplant, radiation therapy, and/or surgery), and providing ongoing care and monitoring for potential relapse.
- Chapter 2: Neoplasms (C00-D49)
- Malignant neoplasms (C00-C96)Malignant neoplasms, stated or presumed to be primary (of specified sites), and certain specified histologies, except neuroendocrine, and of lymphoid, hematopoietic and related tissue (C00-C75)Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)
In simple words: This code indicates that a patient's mast cell leukemia is currently in remission. While this is positive news, it’s not a cure, and the leukemia could come back.
Mast cell leukemia is a rare and aggressive subtype of acute myeloid leukemia (AML) characterized by the abnormal growth and accumulation of mast cells in the peripheral blood.This code signifies that the patient diagnosed with mast cell leukemia has achieved complete remission, meaning the signs and symptoms of the disease are no longer present. However, it's important to note that remission is not a cure, and the cancer can return.
Example 1: A 55-year-old patient presents with fatigue, bone pain, and enlarged lymph nodes.Following a bone marrow biopsy and other diagnostic tests, they are diagnosed with mast cell leukemia. After a course of chemotherapy, they achieve complete remission and are coded as C94.31., A 30-year-old patient with a history of mast cell leukemia (C94.30) undergoes a stem cell transplant.Subsequent testing shows no detectable leukemia cells, indicating remission, and the code is updated to C94.31., A patient initially diagnosed with mast cell leukemia (C94.31) experiences a recurrence of symptoms.After confirmation of relapse through testing, the code is changed to C94.32.
Thorough documentation is essential for accurate coding of mast cell leukemia.This should include details of the diagnostic workup (e.g., blood tests, bone marrow biopsy, imaging studies), confirmation of the diagnosis, treatment plan and response, and current disease status (remission, relapse, etc.).
** It is important to note that the information provided is current as of November 30, 2024, and may be subject to change with future updates to ICD-10-CM coding guidelines.
- Payment Status: Active
- Specialties:Hematology, Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office