2025 ICD-10-CM code D47.1
Chronic myeloproliferative disease. This includes chronic neutrophilic leukemia and unspecified myeloproliferative disease.
Medical necessity for treatment is based on the specific diagnosis, disease progression, and impact on the patient's quality of life. Treatment aims to control symptoms, prevent complications, and improve overall survival.
Diagnosis involves patient history, physical exam, complete blood count (CBC), PCR or FISH on peripheral blood smear, serum uric acid, liver function test, genetic tests, and bone marrow aspiration and/or biopsy. Treatment depends on the cell lineage involved and may include chemotherapy and stem cell/bone marrow transplantation.
In simple words: Chronic myeloproliferative disease is a type of slow-growing blood cancer where too many abnormal blood cells are made in the bone marrow.
Chronic myeloproliferative disease is a slow-growing blood cancer characterized by the uncontrolled multiplication of abnormal red blood cells, white blood cells, and platelets in the bone marrow, which then accumulate in the blood.
Example 1: A patient presents with fatigue, enlarged spleen, and elevated white blood cell count. After further testing, including bone marrow biopsy, a diagnosis of chronic myeloproliferative disease is confirmed., A patient experiences unusual bruising and bleeding. A CBC reveals abnormal platelet levels. Following genetic testing and bone marrow analysis, the patient is diagnosed with chronic neutrophilic leukemia, a subtype of chronic myeloproliferative disease., A patient has persistent fatigue and abdominal discomfort. After ruling out other potential causes, the physician orders a bone marrow biopsy, which leads to a diagnosis of unspecified myeloproliferative disease.
Documentation should include complete blood count results, bone marrow biopsy findings, genetic test results, and clinical symptoms such as fatigue, weight loss, abdominal discomfort, bruising, and enlarged spleen or liver.
** Excludes atypical chronic myeloid leukemia BCR/ABL-negative (C92.2-), chronic myeloid leukemia BCR/ABL-positive (C92.1-), myelofibrosis NOS (D75.81), myelophthisic anemia (D61.82), myelophthisis (D61.82), and secondary myelofibrosis NOS (D75.81).
- Specialties:Hematology, Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office