ICD-10 Coding for Easy Bruising(R23.3, D69.9)
Complete ICD-10-CM coding and documentation guide for Easy Bruising. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Easy Bruising
R23.0-R23.3Primary Range
Symptoms and signs involving the skin and subcutaneous tissue
This range includes codes for skin symptoms like ecchymosis, which is relevant for easy bruising without a known cause.
Purpura and other hemorrhagic conditions
This range includes codes for specific bleeding disorders, which may be used if an underlying cause for bruising is identified.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R23.3 | Spontaneous ecchymoses | Use when bruising occurs without a known cause and lab tests are normal. |
|
| D69.9 | Hemorrhagic condition, unspecified | Use when a bleeding disorder is suspected or confirmed. |
|
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 easy bruising
Essential facts and insights about Easy Bruising
Primary ICD-10-CM Codes for easy bruising
Decision Criteria
clinical Criteria
- No identifiable cause for bruising after testing
coding Criteria
- Use symptom codes only when no definitive diagnosis is available
Applicable To
- Bruising without identifiable cause
Clinical Validation Requirements
- No history of trauma
- Normal coagulation labs
Code-Specific Risks
- Incorrectly using this code when a specific diagnosis is available.
Coding Notes
- Ensure documentation clearly states the absence of trauma and normal lab results.
D69.9 - Hemorrhagic condition, unspecified
Use when a bleeding disorder is suspected or confirmed.
Applicable To
- Unspecified bleeding disorder
Excludes
- Spontaneous ecchymoses (R23.3)
Clinical Validation Requirements
- Abnormal platelet count
- Abnormal PT/INR
Coding Notes
Ensure lab results support the use of this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of anticoagulants
Z79.01Differential 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 Easy Bruising to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R23.3.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Potential audit risk., Financial: Incorrect reimbursement.
Mitigation Strategy
Always include lab results in documentation., Verify diagnosis with lab findings.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use the specific diagnosis code if lab results confirm a condition.
Impact
Using R23.3 when a specific diagnosis is available.
Mitigation Strategy
Ensure thorough documentation and use of specific codes when 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 Easy Bruising, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Easy Bruising
Use these documentation templates to ensure complete and accurate documentation for Easy Bruising. These templates include all required elements for proper coding and billing.
Patient with unexplained bruising
Specialty: HematologyRequired Elements
- Patient history
- Physical examination findings
- Laboratory test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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