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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 1; Ask the Editor

Pancytopenia due to Acute Myeloid Leukemia

A 56-year-old patient with refractory relapsed acute myeloid leukemia (AML) presented to the Emergency Department (ED) due to bleeding gums. Labs were performed in the ED and the patient was found to have pancytopenia secondary to AML. The patient failed prior therapies for AML and was not a candidate for standard therapy due to comorbidities. She was admitted for transfusion support only for her pancytopenia. Does the Official Guidelines for Coding and Reporting for anemia associated in malignancy (I.C.2.c.1) apply for pancytopenia? What is the appropriate principal diagnosis for this patient? ...

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