240 As 2014 draws to a close, we once again enter the year designated for implementation of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). Barring another unexpected delay, it is likely that October 1, 2015, will be the imple- mentation date for ICD-10-CM. In anticipation of this eventual implementation, “Transitioning to 10” articles have pro- vided information on transition preparation, ICD-10-CM codes common to pediatrics, and documentation tips to support reporting of specific diagnoses. This month, we will focus on anemia, but you may revisit previous “Transitioning to 10” articles anytime by visiting the online edition of the newsletter (http://coding.aap.org) and browsing our “Collections” page. Guidelines Currently, no information is found for Chapter 3, Disease of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50–D89), in the guidelines for use of ICD-10-CM. However, anemia related to malignant neoplasms is addressed in the guidelines for Chapter 2. The related guidelines are ■■ When the admission/encounter is for management of an anemia associated with malignancy and the treatment is only for anemia, the appropriate code for the malignancy is sequenced as the principal or first-listed diagnosis, followed by the appropriate code for the anemia (eg, code D63.0, anemia in neoplastic disease). ■■ When the admission/encounter is for management of an anemia associated with an adverse effect of the administration of chemotherapy or immunotherapy and the only treatment is for the anemia, the anemia code is sequenced first, followed by the appropriate codes for the neoplasm and adverse effect (T45.1X5, adverse effect of anti-neoplastic and immunosuppressive drugs). ■■ When the admission/encounter is for management of an anemia associated with an adverse effect of radiotherapy, the anemia code should be sequenced first, followed by the appropriate neoplasm code and code Y84.2, radiological procedure and radiotherapy as the cause of abnormal reaction of the patient, or of later compli- cation, without mention of misadventure at the time of the procedure. Common Pediatric Anemias The Table includes codes for several types of pediatric anemia. Please note that this list is not comprehensive and the alphabetic index of ICD-10-CM should be consulted for terms not included in the table. As with most conditions presenting in the neonatal period, newborn anemia is reported with codes from Chapter 16 of the ICD-10-CM tabular list (codes beginning with P). Appendix B-7 Pediatric Anemia
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