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ICD-10 Guide
ICD-10 CodesD72.89

D72.89

Billable

Other specified disorders of white blood cells

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

Code Description

ICD-10 D72.89 is a billable code used to indicate a diagnosis of other specified disorders of white blood cells.

Key Diagnostic Point:

D72.89 encompasses a variety of conditions that affect white blood cells, which play a crucial role in the immune system. This code is used when a patient presents with disorders that do not fit neatly into other specified categories of white blood cell disorders. One common condition associated with this code is neutropenia, characterized by an abnormally low level of neutrophils, a type of white blood cell essential for fighting infections. Neutropenia can arise from various causes, including bone marrow disorders, autoimmune diseases, infections, and certain medications. Additionally, disorders of the spleen, such as splenomegaly or hypersplenism, can lead to altered white blood cell counts and may be relevant in the context of D72.89. Immunodeficiencies, whether primary or secondary, can also result in abnormal white blood cell function or counts, necessitating the use of this code. Accurate coding requires a thorough understanding of the underlying conditions and their implications for patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to white blood cell disorders
  • Need for detailed clinical documentation to specify the disorder
  • Potential overlap with other hematological codes
  • Variability in clinical presentation and laboratory findings

Audit Risk Factors

  • Insufficient documentation of the underlying cause of the disorder
  • Inconsistent lab results not correlating with the diagnosis
  • Failure to specify the type of white blood cell disorder
  • Lack of follow-up documentation to support ongoing treatment

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with unexplained leukopenia or neutropenia, requiring further investigation.

Billing Considerations

Coders should be aware of the specific types of white blood cell disorders and their implications for treatment.

Immunology

Documentation Requirements

Comprehensive immunological assessments and history of infections or autoimmune conditions.

Common Clinical Scenarios

Patients with recurrent infections or autoimmune disorders presenting with abnormal white blood cell counts.

Billing Considerations

Documentation should clearly outline the relationship between immunodeficiency and white blood cell disorders.

Coding Guidelines

Inclusion Criteria

Use D72.89 When
  • According to ICD
  • 10 coding guidelines, D72
  • 89 should be used when the specific disorder of white blood cells is not classified elsewhere
  • Coders must ensure that the documentation supports the use of this code and that it is not used inappropriately for conditions that have more specific codes

Exclusion Criteria

Do NOT use D72.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate white blood cell counts and types in patients suspected of having white blood cell disorders.

Documentation Requirements

Document the indication for the CBC and any relevant clinical findings.

Specialty Considerations

Hematologists should ensure that the CBC results are interpreted in the context of the patient's overall clinical picture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of white blood cell disorders, including D72.89, which captures a broader range of conditions. This specificity aids in better tracking of patient outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of white blood cell disorders, including D72.89, which captures a broader range of conditions. This specificity aids in better tracking of patient outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of white blood cell disorders, including D72.89, which captures a broader range of conditions. This specificity aids in better tracking of patient outcomes and resource utilization.

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 conditions are included under D72.89?

D72.89 includes various unspecified disorders of white blood cells, such as neutropenia, disorders related to the spleen, and certain immunodeficiencies that do not have a more specific code.

How do I differentiate between D72.89 and D70?

D72.89 is used for other specified disorders of white blood cells, while D70 is specifically for agranulocytosis. Coders should refer to clinical documentation to determine the appropriate code.