Back to HomeBeta

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:

Spontaneous EcchymosesBruising Tendencyspontaneous ecchymosisunexplained bruising

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

CodeDescriptionWhen to UseKey Documentation
R23.3Spontaneous ecchymosesUse when bruising occurs without a known cause and lab tests are normal.
  • No history of trauma
  • Normal coagulation labs
D69.9Hemorrhagic condition, unspecifiedUse when a bleeding disorder is suspected or confirmed.
  • Abnormal platelet count
  • Abnormal PT/INR

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

The ICD-10 code for easy bruising without a known cause is R23.3, representing spontaneous ecchymoses.

Primary ICD-10-CM Codes for easy bruising

Spontaneous ecchymoses
Billable Code

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

Excludes

  • Coagulation defects (D68.-)
  • Thrombocytopenia (D69.6)

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.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Long-term (current) use of anticoagulants

Z79.01
Use when the patient is on anticoagulant therapy, which may contribute to bruising.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Hemorrhagic condition, unspecified

D69.9
Use when a specific hemorrhagic condition is diagnosed, supported by lab findings.

Spontaneous ecchymoses

R23.3
Use R23.3 when no specific bleeding disorder is identified.

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: Hematology

Required Elements

  • Patient history
  • Physical examination findings
  • Laboratory test results

Example Documentation

Patient presents with multiple ecchymoses on arms and legs. No trauma history. Labs: Platelet count 150k, PT/INR normal.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has bruises.
Good Documentation Example
Patient presents with spontaneous ecchymoses on arms, no trauma history, normal coagulation labs.
Explanation
The good example provides specific details and lab results, supporting the use of R23.3.

Need help with ICD-10 coding for Easy Bruising? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more