ICD-10 Coding for Elevated Platelets(D47.3, D75.81, D75.839)
Complete ICD-10-CM coding and documentation guide for Elevated Platelets. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Platelets
D47-D75Primary Range
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
This range includes codes for various blood disorders, including thrombocytosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D47.3 | Essential (primary) thrombocythemia | Use when essential thrombocythemia is confirmed by genetic testing. |
|
| D75.81 | Secondary thrombocytosis | Use when thrombocytosis is due to a reactive cause. |
|
| D75.839 | Unspecified thrombocytosis | Use only when no specific cause can be identified 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 elevated platelets
Essential facts and insights about Elevated Platelets
Primary ICD-10-CM Codes for elevated platelets
Decision Criteria
clinical Criteria
- Confirmed JAK2 mutation and platelet count >450,000/μL
Applicable To
- Essential thrombocythemia
- Primary thrombocytosis
Excludes
- Secondary thrombocytosis (D75.81)
Clinical Validation Requirements
- Platelet count >450,000/μL
- JAK2 mutation positive
Code-Specific Risks
- Incorrectly coding without genetic confirmation
Coding Notes
- Ensure documentation specifies essential thrombocythemia with genetic confirmation.
D75.81 - Secondary thrombocytosis
Use when thrombocytosis is due to a reactive cause.
Applicable To
- Reactive thrombocytosis
Excludes
- Essential thrombocythemia (D47.3)
Clinical Validation Requirements
- Platelet count >450,000/μL
- Documented reactive cause such as infection or surgery
Coding Notes
Ensure the reactive cause is clearly documented.
D75.839 - Unspecified thrombocytosis
Use only when no specific cause can be identified after thorough investigation.
Applicable To
- Thrombocytosis NOS
Clinical Validation Requirements
- Platelet count >450,000/μL
- No identified primary or secondary cause
Coding Notes
This code should be used sparingly and only after exhaustive investigation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Platelets to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D47.3.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential loss of reimbursement due to incorrect coding.
Mitigation Strategy
Educate providers on documentation standards, Implement regular chart audits
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure thorough documentation and query the provider if necessary.
Impact
High risk of audit if D75.839 is used without proper documentation.
Mitigation Strategy
Ensure thorough documentation and provider queries.
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 Elevated Platelets, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Platelets
Use these documentation templates to ensure complete and accurate documentation for Elevated Platelets. These templates include all required elements for proper coding and billing.
Post-operative thrombocytosis
Specialty: SurgeryRequired Elements
- Platelet count
- Surgical procedure
- Reactive cause
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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