White Blood Cell Count
Notes
**Note 1:** This SSDI is effective for diagnosis years 2023+
* For cases diagnosed 2018-2022, leave this SSDI blank
**Note 2:** Physician statement of WBC (White Blood Cell Count) Pretreatment Lab Value can be used to code this data item when no other information is available.
* Record the lab value of the highest WBC test result documented in the medical record **prior to treatment**. The lab value may be recorded in a lab report, history and physical, or clinical statement in the pathology report
* Record to the nearest microliter (cells/mcL) the highest WBC lab value documented in the medical record **prior to treatment**.
* A known lab value takes priority over codes XXXXX.2-XXXXX.4
- The lab value takes priority even if the physician documents the interpretation
- *Example:* Patient noted to have a WBC count of 60,000. Physician notes that the value is elevated
- Code 60,000 instead of XXXXX.4 (elevated)
Metadata
SSDI
| Code |
Description |
| 0.0-99999.9 |
0.0-99999.9 microliter (cells/mcL)
(Exact value to nearest tenth in cells/mcL) |
| XXXXX.1 |
100,000 or greater |
| XXXXX.2 |
Lab value not available, physician states WBC is low |
| XXXXX.3 |
Lab value not available, physician states WBC is normal |
| XXXXX.4 |
Lab value not available, physician states WBC is elevated/high |
| XXXXX.7 |
Test ordered, results not in chart |
| XXXXX.8 |
Not applicable: Information not collected for this case
(If this information is required by your standard setter, use of code XXXXX.8 may result in an edit error) |
| XXXXX.9 |
Not documented in medical record
WBC (White Blood Cell Count) Pretreatment Lab Value not assessed or unknown if assessed |
| <BLANK> |
N/A - Diagnosis year is prior to 2023 |
