ICD Code D45

ICD code D45 is polycythemia vera, a rare blood disorder where the body produces too many red blood cells, leading to thickened blood and an increased risk of blood clots.

1. Elevated red blood cell mass or hemoglobin/hematocrit above the normal reference range for age and sex

2. Presence of JAK2 V617F or similar mutation

3. Bone marrow biopsy showing hypercellularity with trilineage growth (panmyelosis)

4. Low serum erythropoietin level

5. Splenomegaly on physical examination or imaging

6. Symptoms such as headache, dizziness, pruritus (especially after bathing), erythromelalgia, or visual disturbances

7. Thrombotic or hemorrhagic events without other clear cause

8. Exclusion of secondary causes of erythrocytosis

Relevant CPT codes that may be used to treat ICD code D45 include:

- 36415 (Collection of venous blood by venipuncture)

- 36591 (Collection of blood specimen from a completely implantable venous access device)

- 38220 (Diagnostic bone marrow aspiration)

- 38221 (Diagnostic bone marrow biopsy)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 96413 (Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug)

- 96415 (Chemotherapy administration, intravenous infusion technique; each additional hour)

- 99211–99215 (Established patient office or other outpatient visit, depending on complexity)

- 99221–99223 (Initial hospital care, per day, for the evaluation and management of a patient)

These CPT codes are commonly associated with the management and treatment of D45.

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