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v1.0.0
ICD-10 Guide
ICD-10 CodesD75.81

D75.81

Billable

Myelofibrosis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D75.81 is a billable code used to indicate a diagnosis of myelofibrosis.

Key Diagnostic Point:

Myelofibrosis is a type of chronic myeloproliferative neoplasm characterized by the replacement of bone marrow with fibrous tissue, leading to ineffective hematopoiesis. This condition often results in splenomegaly (enlarged spleen) and can cause various hematological abnormalities, including anemia, leukopenia, and thrombocytopenia. Patients may present with symptoms such as fatigue, weakness, night sweats, and bone pain. The pathophysiology involves mutations in genes such as JAK2, CALR, and MPL, which contribute to abnormal cell proliferation and fibrosis in the bone marrow. Myelofibrosis can lead to complications such as acute leukemia and portal hypertension due to splenic congestion. Diagnosis typically involves blood tests, bone marrow biopsy, and imaging studies to assess spleen size and function. Management may include supportive care, blood transfusions, and targeted therapies aimed at the underlying genetic mutations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for comprehensive documentation of hematological findings
  • Differentiation from other myeloproliferative disorders
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to document the presence of splenomegaly
  • Misclassification of myelofibrosis as another hematological disorder
  • Lack of clarity in treatment plans and follow-up care

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed blood work results, bone marrow biopsy findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with anemia, splenomegaly, or leukopenia requiring evaluation.

Billing Considerations

Ensure clear documentation of genetic testing results and treatment responses.

Oncology

Documentation Requirements

Oncological assessments, treatment protocols, and follow-up care documentation.

Common Clinical Scenarios

Management of patients undergoing chemotherapy or targeted therapy for myelofibrosis.

Billing Considerations

Document any complications or secondary malignancies that may arise.

Coding Guidelines

Inclusion Criteria

Use D75.81 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's severity and any associated complications
  • Include relevant laboratory findings and imaging results to support the diagnosis

Exclusion Criteria

Do NOT use D75.81 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to monitor blood counts in patients with myelofibrosis.

Documentation Requirements

Document the reason for the CBC and any abnormal findings.

Specialty Considerations

Hematology specialists should ensure comprehensive reporting of all blood parameters.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of myelofibrosis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of treatment outcomes and disease progression.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of myelofibrosis, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of treatment outcomes and disease progression.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of treatment outcomes and disease progression.

Resources

Clinical References

  • •
    American Society of Hematology

Coding & Billing References

  • •
    American Society of Hematology

Frequently Asked Questions

What are the common symptoms of myelofibrosis?

Common symptoms include fatigue, weakness, splenomegaly, night sweats, and bone pain. Patients may also experience anemia and other blood-related issues.