Other decreased white blood cell count
ICD-10 D72.818 is a billable code used to indicate a diagnosis of other decreased white blood cell count.
D72.818 refers to conditions characterized by a decrease in white blood cell (WBC) count that does not fall under more specific categories. Neutropenia, a common form of decreased WBC count, is defined as an absolute neutrophil count (ANC) of less than 1,500 cells per microliter. This condition can arise from various causes, including bone marrow disorders, autoimmune diseases, infections, and certain medications. Disorders of the spleen, such as hypersplenism, can also lead to decreased WBC counts due to increased destruction of blood cells. Immunodeficiencies, whether congenital or acquired, can further complicate the clinical picture, leading to increased susceptibility to infections. Accurate diagnosis often requires a comprehensive evaluation of the patient's history, physical examination, and laboratory tests to determine the underlying cause of the leukopenia. Clinicians must consider the patient's clinical context, as the implications of a decreased WBC count can vary significantly depending on the etiology and associated symptoms.
Detailed lab results, patient history, and treatment plans must be documented.
Patients presenting with unexplained infections or fatigue, requiring evaluation of WBC counts.
Consideration of bone marrow biopsy results and other hematological evaluations.
Thorough documentation of immunodeficiency workup and any associated autoimmune conditions.
Patients with recurrent infections or autoimmune disorders presenting with leukopenia.
Documentation of immunoglobulin levels and specific antibody responses.
Used to evaluate patients presenting with symptoms of infection and low WBC counts.
Document the reason for the CBC and any relevant clinical findings.
Hematologists may require additional tests based on CBC results.
A decreased white blood cell count can indicate an underlying health issue, such as bone marrow disorders, autoimmune diseases, or infections. It increases the risk of infections and may require further evaluation and management.
