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ICD-10 Guide
ICD-10 CodesD47.1

D47.1

Billable

Chronic myeloproliferative disease

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

Code Description

ICD-10 D47.1 is a billable code used to indicate a diagnosis of chronic myeloproliferative disease.

Key Diagnostic Point:

Chronic myeloproliferative disease (CMPD) encompasses a group of hematological disorders characterized by the overproduction of blood cells due to clonal proliferation of hematopoietic stem cells. This condition is classified under neoplasms of uncertain behavior, indicating that while it involves abnormal cell growth, it does not fit neatly into benign or malignant categories. CMPD can lead to various complications, including splenomegaly, thrombosis, and transformation into acute myeloid leukemia (AML) or myelodysplastic syndromes. Patients may present with symptoms such as fatigue, night sweats, and unexplained weight loss. Diagnosis typically involves blood tests showing elevated cell counts, bone marrow biopsy, and genetic testing for mutations such as JAK2 V617F. Surveillance is crucial as the disease can progress, necessitating regular monitoring of blood counts and clinical symptoms to manage potential complications effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations and symptoms
  • Need for comprehensive diagnostic criteria
  • Potential for progression to more severe conditions
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document surveillance and follow-up
  • Misclassification of disease severity
  • Inconsistent coding of related conditions

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans must be documented.

Common Clinical Scenarios

Diagnosis and management of CMPD, monitoring for progression, and treatment of complications.

Billing Considerations

Ensure accurate documentation of blood counts and any genetic testing results.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy or targeted therapy regimens.

Common Clinical Scenarios

Management of patients with CMPD who may progress to acute leukemia.

Billing Considerations

Document any transformation of the disease and the rationale for treatment changes.

Coding Guidelines

Inclusion Criteria

Use D47.1 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the condition's nature and any associated complications
  • Include relevant clinical findings and treatment plans

Exclusion Criteria

Do NOT use D47.1 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 cell counts in patients with CMPD.

Documentation Requirements

Document the reason for the CBC and any abnormal findings.

Specialty Considerations

Hematologists should ensure that all relevant lab results are included in the patient's record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    Chronic Myeloproliferative Neoplasms: A Guide for Patients

Coding & Billing References

  • •
    Chronic Myeloproliferative Neoplasms: A Guide for Patients

Frequently Asked Questions

What is chronic myeloproliferative disease?

Chronic myeloproliferative disease refers to a group of disorders characterized by the overproduction of blood cells due to clonal proliferation of hematopoietic stem cells. It includes conditions like polycythemia vera and essential thrombocythemia.