ICD-10 Coding for Chronic Thrombocytopenia(D69.3, D69.49, D69.59, D69.6)
Complete ICD-10-CM coding and documentation guide for Chronic Thrombocytopenia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Thrombocytopenia
D69.3-D69.6Primary Range
ICD-10 codes for various forms of thrombocytopenia
This range includes codes for primary, secondary, and unspecified thrombocytopenia, relevant for chronic cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D69.3 | Immune thrombocytopenic purpura | Use when chronic ITP is confirmed with exclusion of secondary causes. |
|
| D69.49 | Other primary thrombocytopenia | Use for primary thrombocytopenia not classified as ITP. |
|
| D69.59 | Other secondary thrombocytopenia | Use when thrombocytopenia is secondary to another condition or treatment. |
|
| D69.6 | Unspecified thrombocytopenia | Use only when the etiology is unknown after thorough investigation. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chronic thrombocytopenia
Essential facts and insights about Chronic Thrombocytopenia
Primary ICD-10-CM Codes for chronic thrombocytopenia
Decision Criteria
clinical Criteria
- Confirmed chronic ITP with platelet count <100,000/mcL
Applicable To
- Chronic immune thrombocytopenia
- Idiopathic thrombocytopenic purpura
Excludes
- Drug-induced thrombocytopenia (D69.59)
Clinical Validation Requirements
- Platelet count <100,000/mcL
- Exclusion of other causes
- Duration >6 months
Code-Specific Risks
- Misclassification if secondary causes are not excluded.
Coding Notes
- Ensure documentation specifies chronicity and exclusion of secondary causes.
D69.49 - Other primary thrombocytopenia
Use for primary thrombocytopenia not classified as ITP.
Applicable To
- Congenital thrombocytopenia
Excludes
- Immune thrombocytopenic purpura (D69.3)
Clinical Validation Requirements
- Genetic testing confirmation
- Exclusion of immune causes
Coding Notes
Document genetic testing results to support this code.
D69.59 - Other secondary thrombocytopenia
Use when thrombocytopenia is secondary to another condition or treatment.
Applicable To
- Drug-induced thrombocytopenia
- Post-transfusion thrombocytopenia
Excludes
- Immune thrombocytopenic purpura (D69.3)
Clinical Validation Requirements
- Documentation of secondary cause
- Platelet count <150,000/mcL
Coding Notes
Ensure the underlying cause is documented and coded first.
D69.6 - Unspecified thrombocytopenia
Use only when the etiology is unknown after thorough investigation.
Excludes
- Specific types of thrombocytopenia (D69.3-D69.59)
Clinical Validation Requirements
- Platelet count <150,000/mcL
- Incomplete workup
Coding Notes
Use as a last resort when no specific diagnosis can be made.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Thrombocytopenia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.3.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Increases audit risk., Financial: Potential for denied claims.
Mitigation Strategy
Thoroughly document all exclusion tests.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failure., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure thorough documentation and use specific codes like D69.3 or D69.59.
Impact
High risk of audit if unspecified codes are overused.
Mitigation Strategy
Use specific codes whenever possible.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chronic Thrombocytopenia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Thrombocytopenia
Use these documentation templates to ensure complete and accurate documentation for Chronic Thrombocytopenia. These templates include all required elements for proper coding and billing.
Chronic ITP in Hematology
Specialty: HematologyRequired Elements
- Duration of thrombocytopenia
- Platelet count trends
- Exclusion of secondary causes
- Treatment history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Chronic Thrombocytopenia? Ask your questions below.