ICD 10 Coding Alert

Notes describing the simple transfusion of red blood cells might direct you to an ICD-9 procedure code right now, but without details, you'll have dozens of potential ICD-10-PCS codes in 2014.

Here's what your provider's documentation needs.

The medical record indicates the patient has received treatment for myelodysplastic syndrome pancytopenia secondary to anemia. The discharge summary and progress notes document the transfusion of blood.

The ICD-9 Code system provides codes for Transfusion of Blood and Blood Components (99.0 Series) with respect to type of transfusion (e.g. transfusion of packed cells, platelets, coagulation factors, other serum etc.).

Therefore, the existing clinical documentation supports both the transfusion and clinical indicator as red blood cells, which leads to accurate code in ICD-9 as:

Unfortunately, you cannot properly assign the ICD-10-PCS code. Given the documentation you have, you have enough for the following three

However, you don't have enough to continue on with your ICD-10-PCS code. Here's where your code gets muddled:

• Peripheral
• Central Vein
• Peripheral
• Central artery

Approach (is the technique the provider uses to reach the site of the procedure):

Qualifier (provides additional information about procedure):