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ICD-10 Guide
ICD-10 CodesD72.825

D72.825

Billable

Bandemia

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

Code Description

ICD-10 D72.825 is a billable code used to indicate a diagnosis of bandemia.

Key Diagnostic Point:

Bandemia refers to an increased number of band neutrophils in the blood, which are immature white blood cells that indicate an ongoing infection or inflammatory process. This condition is often associated with neutropenia, where there is a decrease in the overall white blood cell count, leading to a compromised immune response. Bandemia can arise from various underlying causes, including bone marrow disorders, infections, and splenic dysfunction. The presence of band neutrophils is a critical marker in diagnosing and monitoring infections, particularly in patients with immunodeficiencies or those undergoing treatments that affect bone marrow function. Clinicians must evaluate the patient's complete blood count (CBC) and consider other white blood cell disorders, such as leukemias or lymphomas, which may present with similar laboratory findings. The spleen plays a significant role in filtering blood and managing immune responses; thus, splenic disorders can also contribute to bandemia. Accurate diagnosis and coding of bandemia require a thorough understanding of the patient's clinical picture, including any concurrent conditions that may affect white blood cell production and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between bandemia and other leukocyte abnormalities
  • Understanding the underlying causes of neutropenia
  • Identifying concurrent conditions that may complicate coding
  • Navigating documentation requirements for various specialties

Audit Risk Factors

  • Inadequate documentation of laboratory results
  • Failure to link bandemia to an underlying condition
  • Misinterpretation of neutrophil counts
  • Lack of clarity in the clinical rationale for testing

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed CBC results, including absolute neutrophil counts and differential counts.

Common Clinical Scenarios

Patients presenting with fever and neutropenia, particularly those undergoing chemotherapy.

Billing Considerations

Documentation must clearly indicate the clinical significance of bandemia in the context of the patient's overall health.

Infectious Disease

Documentation Requirements

Clinical notes detailing the infection source, treatment response, and laboratory findings.

Common Clinical Scenarios

Patients with suspected sepsis or severe infections presenting with elevated band neutrophils.

Billing Considerations

Linking bandemia to specific infections is crucial for accurate coding and treatment planning.

Coding Guidelines

Inclusion Criteria

Use D72.825 When
  • According to ICD
  • 10 guidelines, D72
  • 825 should be used when bandemia is documented in the clinical setting
  • Coders must ensure that the condition is linked to the appropriate clinical scenario and that all relevant laboratory findings are included in the documentation

Exclusion Criteria

Do NOT use D72.825 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

When a CBC is performed to evaluate bandemia in a patient with suspected infection.

Documentation Requirements

Ensure the CBC results are documented in the patient's chart, including the differential count.

Specialty Considerations

Hematology specialists may require additional tests to assess bone marrow function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like bandemia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like bandemia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like bandemia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is bandemia?

Bandemia is the presence of increased immature neutrophils (bands) in the blood, often indicating an infection or inflammatory response.

How is bandemia diagnosed?

Bandemia is diagnosed through a complete blood count (CBC) that shows elevated band neutrophils, typically in the context of clinical symptoms of infection.

What conditions are associated with bandemia?

Bandemia can be associated with infections, inflammatory diseases, and conditions affecting bone marrow function.