ICD-10 Coding for Henoch-Schönlein Purpura(D69.0)
Complete ICD-10-CM coding and documentation guide for Henoch-Schönlein Purpura. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Henoch-Schönlein Purpura
D65-D69Primary Range
Coagulation defects, purpura and other hemorrhagic conditions
This range includes the primary code for Henoch-Schönlein Purpura, which is classified under purpura conditions.
Key Information: ICD-10 code for Henoch-Schönlein Purpura
Essential facts and insights about Henoch-Schönlein Purpura
Primary ICD-10-CM Code for henoch–schönlein purpura
Decision Criteria
clinical Criteria
- Presence of palpable purpura and at least one systemic symptom
coding Criteria
- Sequence any underlying infection first if documented as causal
Applicable To
- Henoch-Schönlein Purpura
- IgA Vasculitis
- Nonthrombocytopenic idiopathic purpura
Excludes
- Vasculitis limited to skin (L95)
Clinical Validation Requirements
- Palpable purpura on lower extremities
- Arthritis or arthralgia
- Abdominal pain
- Renal involvement such as hematuria or proteinuria
Code-Specific Risks
- Confusion with other vasculitis codes
- Incorrect sequencing with underlying infections
Coding Notes
- Ensure documentation supports the presence of systemic symptoms beyond skin involvement.
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 Henoch-Schönlein Purpura to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.0.
Impact
Clinical: May lead to incomplete diagnosis., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement for renal involvement.
Mitigation Strategy
Ensure urinalysis results are documented., Include renal symptoms in clinical notes.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use D69.0 for Henoch-Schönlein Purpura as L95.9 excludes it.
Impact
Failure to document systemic symptoms may lead to audit findings.
Mitigation Strategy
Ensure complete documentation of all symptoms related to HSP.
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 Henoch-Schönlein Purpura, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Henoch-Schönlein Purpura
Use these documentation templates to ensure complete and accurate documentation for Henoch-Schönlein Purpura. These templates include all required elements for proper coding and billing.
Emergency Department Visit for HSP
Specialty: PediatricsRequired Elements
- History of preceding infection
- Description of rash
- Joint examination
- Abdominal assessment
- Renal function tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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