Pancytopenia
ICD-10 D61.81 is a billable code used to indicate a diagnosis of pancytopenia.
Pancytopenia is a hematological condition characterized by the simultaneous reduction of red blood cells, white blood cells, and platelets in the blood. This condition can arise from various underlying causes, including aplastic anemia, bone marrow failure, and other acquired anemias. Aplastic anemia, a primary cause of pancytopenia, is a disorder where the bone marrow fails to produce adequate blood cells due to damage from autoimmune diseases, toxins, or infections. Bone marrow failure syndromes can also lead to decreased hematopoiesis, resulting in similar cytopenias. Acquired anemias, such as those resulting from nutritional deficiencies or chronic diseases, can contribute to the development of pancytopenia. The clinical presentation may include symptoms of anemia (fatigue, pallor), increased susceptibility to infections (due to leukopenia), and bleeding tendencies (due to thrombocytopenia). Diagnosis typically involves a complete blood count (CBC), bone marrow biopsy, and additional tests to identify the underlying cause. Management strategies depend on the etiology and may include transfusions, immunosuppressive therapy, or hematopoietic stem cell transplantation.
Detailed lab results, bone marrow biopsy reports, and treatment plans.
Diagnosis and management of patients with unexplained cytopenias, evaluation of bone marrow function.
Ensure comprehensive documentation of all hematological parameters and any relevant comorbidities.
Oncological history, treatment regimens, and response to therapy.
Management of pancytopenia in patients undergoing chemotherapy or radiation therapy.
Document the relationship between cancer treatment and hematological status.
Used to evaluate patients presenting with symptoms of anemia or bleeding.
Document the reason for the CBC and any relevant clinical findings.
Hematologists should ensure that all relevant parameters are included in the CBC.
The primary cause of pancytopenia can vary, but aplastic anemia is one of the most common causes, where the bone marrow fails to produce sufficient blood cells.