ICD-10-CM Billable Code

C94.2

Acute megakaryoblastic leukemia

Clinical Classification Guidelines

Inclusion Terms

  • Acute myeloid leukemia M7
  • Acute megakaryocytic leukemia

Medical Intelligence & Overview

Acute megakaryoblastic leukemia, also known as acute myeloid leukemia M7, is a rare and aggressive type of blood cancer. It involves the rapid growth of abnormal megakaryoblasts — immature cells that normally develop into megakaryocytes, which are responsible for producing platelets. This condition causes the bone marrow to produce too many of these abnormal cells, which can interfere with normal blood cell production. Recognized under the ICD-10 code C94.2, this leukemia requires prompt medical attention for diagnosis and management.

Causes & Symptoms

Clinical Causes: Genetic mutations that affect cell growth and division Previous exposure to radiation or chemotherapy Certain inherited genetic disorders, such as Down syndrome Environmental factors, though less clearly established Unknown causes in many cases (idiopathic)

Key Symptoms: Persistent fatigue and weakness Unusual bruising or bleeding, such as frequent nosebleeds Pale skin due to anemia Fever and night sweats Unexplained weight loss Bone or joint pain Frequent infections Shortness of breath or rapid heartbeat in severe cases

Diagnostic & Treatment

Diagnosis Path: Diagnosing acute megakaryoblastic leukemia involves several steps, starting with a detailed medical history and physical examination. Blood tests often reveal abnormal white blood cell counts, anemia, and low platelet levels. A bone marrow biopsy, where a sample is taken from the marrow inside the bones, is crucial for confirming the presence of megakaryoblasts. Additional tests, such as cytogenetic analysis and flow cytometry, help identify specific genetic abnormalities and cell surface markers, providing essential information for treatment planning.

Treatment Protocols: Managing acute megakaryoblastic leukemia typically involves intensive chemotherapy to destroy cancerous cells and induce remission. In some cases, stem cell or bone marrow transplants may be considered to replace diseased marrow with healthy donor cells. Supportive care, including blood transfusions, antibiotics, and growth factors, helps manage symptoms and prevent complications. Because this is an aggressive disease, early diagnosis and treatment are vital to improve outcomes, and ongoing follow-up care is necessary to monitor for recurrence or treatment-related effects.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is C94.2 a billable ICD-10 code?
Yes, C94.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report C94.2?
Clinical documentation must specify the nature of Acute megakaryoblastic leukemia and any associated comorbidities for accurate reporting.

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