Decreased white blood cell count
ICD-10 D72.81 is a billable code used to indicate a diagnosis of decreased white blood cell count.
Decreased white blood cell count, or leukopenia, is a condition characterized by a lower than normal number of white blood cells (WBCs) in the bloodstream. This condition can result from various factors, including bone marrow disorders, autoimmune diseases, infections, and certain medications. Neutropenia, a specific type of leukopenia, refers to a decrease in neutrophils, which are crucial for fighting infections. Patients with neutropenia are at increased risk for infections, and the severity of the condition can vary based on the absolute neutrophil count (ANC). Disorders of the spleen, such as splenomegaly or hypersplenism, can also contribute to decreased WBC counts by sequestering blood cells. Additionally, immunodeficiencies, whether congenital or acquired, can lead to leukopenia as the immune system fails to produce adequate white blood cells. Clinicians must evaluate the underlying cause of decreased WBC counts to determine appropriate management and treatment strategies, which may include addressing the underlying condition, administering growth factors, or adjusting medications.
Detailed lab results, patient history, and treatment plans must be documented.
Patients presenting with unexplained infections, fatigue, or abnormal lab results.
Consideration of bone marrow biopsy results and other diagnostic tests to determine the cause of leukopenia.
Documentation of cancer treatment regimens and their effects on blood counts.
Patients undergoing chemotherapy presenting with neutropenia.
Monitoring for febrile neutropenia and the need for growth factor support.
Used to evaluate a patient presenting with symptoms of infection and suspected leukopenia.
Document the reason for the CBC and any relevant clinical findings.
Hematologists may require additional tests based on CBC results.
Common causes include bone marrow disorders, autoimmune diseases, infections, certain medications, and splenic disorders. Each cause may require different management strategies.
