Other aplastic anemias and other bone marrow failure syndromes
Chapter 3:Diseases of the blood and blood-forming organs
ICD-10 D61 is a billable code used to indicate a diagnosis of other aplastic anemias and other bone marrow failure syndromes.
Aplastic anemia is a rare but serious condition characterized by the failure of the bone marrow to produce adequate amounts of blood cells, leading to pancytopenia (a reduction in red blood cells, white blood cells, and platelets). This condition can be acquired through various factors such as exposure to toxins, certain medications, viral infections, or autoimmune diseases. Other bone marrow failure syndromes may include conditions like myelodysplastic syndromes and pure red cell aplasia, which also result in inadequate blood cell production but may have different underlying mechanisms. Clinically, patients may present with symptoms such as fatigue, increased susceptibility to infections, and bleeding tendencies due to low platelet counts. Diagnosis typically involves blood tests, bone marrow biopsy, and exclusion of other causes of anemia. Management may include immunosuppressive therapy, blood transfusions, or hematopoietic stem cell transplantation, depending on the severity and underlying cause of the condition.
Detailed patient history, laboratory results, and treatment plans must be documented to support the diagnosis.
Patients presenting with unexplained anemia, recurrent infections, or bleeding episodes.
Consideration of the patient's age, comorbidities, and response to previous treatments is crucial for accurate coding.
Oncologists must document any malignancies that may contribute to bone marrow failure.
Patients undergoing chemotherapy who develop secondary bone marrow failure.
Differentiating between primary and secondary causes of bone marrow failure is essential.
Used to evaluate blood cell counts in patients suspected of having aplastic anemia.
Document the indication for the CBC and any relevant clinical findings.
Hematologists should ensure that the CBC results are interpreted in the context of the patient's overall clinical picture.
Common causes include exposure to chemicals (like benzene), certain medications (like chemotherapy agents), viral infections (such as hepatitis or HIV), and autoimmune disorders.
