Plasma cell leukemia not having achieved remission

This code signifies a rare and aggressive form of plasma cell dyscrasia characterized by a high percentage of circulating plasma cells in the peripheral blood. It represents an active, uncontrolled state of the disease, indicating that the patient has not yet achieved a state of remission through treatment.

Apply this code when documentation explicitly states a diagnosis of plasma cell leukemia and indicates that the patient is not in remission. This is appropriate for initial diagnoses, during active treatment phases, or when treatment has failed to induce remission. Supporting documentation includes pathology reports, hematology consultations, and physician notes confirming the diagnosis and current disease status.

• Ensure documentation clearly differentiates from multiple myeloma with plasma cell leukemia features.
• Do not use if the patient has achieved any form of remission (e.g., partial, complete).
• Consider sequencing with codes for any associated complications or treatment-related adverse effects.