ICD Code D47.2

ICD code D47.2 is a classification used to identify monoclonal gammopathy, a condition characterized by the presence of an abnormal protein in the blood produced by a small number of plasma cells. This code is utilized in healthcare settings to document and track this specific condition for billing, treatment planning, and statistical purposes.

1. Presence of Monoclonal Protein (M-Protein): Detection of a monoclonal protein in the serum or urine through laboratory tests such as serum protein electrophoresis (SPEP) or urine protein electrophoresis (UPEP).

2. Absence of End-Organ Damage: No evidence of end-organ damage that can be attributed to the monoclonal protein, such as renal insufficiency, hypercalcemia, anemia, or bone lesions.

3. Stable M-Protein Levels: Consistent levels of M-protein over time, indicating a lack of progression to more serious conditions like multiple myeloma or related disorders.

4. Normal Bone Marrow Findings: Bone marrow biopsy showing less than 10% clonal plasma cells, which helps differentiate from more aggressive plasma cell disorders.

5. Absence of Related Symptoms: No clinical symptoms such as unexplained fatigue, bone pain, or recurrent infections that could suggest progression to a malignant condition.

6. Regular Monitoring: Ongoing surveillance and regular follow-up with healthcare providers to monitor for any changes in the condition or the development of symptoms indicative of progression.

For the ICD code D47.2 (Monoclonal gammopathy), the relevant CPT codes that may be applicable include:

1. CPT 84155 - Protein; total, except refractometry.
2. CPT 84165 - Protein electrophoresis; serum.
3. CPT 84166 - Protein electrophoresis; other fluids with concentration.
4. CPT 84181 - Protein; immunofixation electrophoresis, serum.
5. CPT 84182 - Protein; immunofixation electrophoresis, other fluids.
6. CPT 86334 - Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29).
7. CPT 86335 - Immunoassay for tumor antigen, quantitative; CA 19-9.
8. CPT 86336 - Immunoassay for tumor antigen, quantitative; CA 125.

These CPT codes are often used in the diagnostic evaluation and monitoring of conditions associated with monoclonal gammopathy. It is important for healthcare providers to verify the appropriate use of these codes based on the specific services rendered and the payer's guidelines.

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