ICD-10 Coding for Idiopathic Thrombocytopenia(D69.3)
Complete ICD-10-CM coding and documentation guide for Idiopathic Thrombocytopenia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Idiopathic Thrombocytopenia
D69.0-D69.6Primary Range
Purpura and other hemorrhagic conditions
This range includes codes for various types of thrombocytopenia, with D69.3 specifically for idiopathic thrombocytopenia.
Key Information: ICD-10 code for idiopathic thrombocytopenia
Essential facts and insights about Idiopathic Thrombocytopenia
Primary ICD-10-CM Code for idiopathic thrombocytopenia
Decision Criteria
clinical Criteria
- Platelet count consistently <100 x10⁹/L with no secondary causes identified.
documentation Criteria
- Document exclusion of secondary causes and confirm normal bone marrow findings.
Applicable To
- Chronic immune thrombocytopenic purpura
- Primary immune thrombocytopenia
Clinical Validation Requirements
- Platelet count <100 x10⁹/L
- Exclusion of secondary causes
- Bone marrow biopsy showing normal megakaryocytes
Code-Specific Risks
- Misclassification if secondary causes are not ruled out
- Incorrect sequencing if used as secondary to another condition
Coding Notes
- Ensure documentation clearly states 'idiopathic' or 'immune-mediated' to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acquired absence of spleen
Z90.81Differential 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 Idiopathic 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: Misleading clinical data affecting treatment decisions., Regulatory: Potential audit issues due to incorrect coding., Financial: Incorrect reimbursement due to DRG misassignment.
Mitigation Strategy
Verify exclusion of drug-induced causes, Cross-check medication history
Impact
Reimbursement: Incorrect DRG assignment can lead to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data affecting clinical decision-making.
Mitigation Strategy
Ensure thorough documentation of exclusion of secondary causes before assigning D69.3.
Impact
Failure to document exclusion of secondary causes can lead to audit flags.
Mitigation Strategy
Ensure comprehensive documentation of all exclusion criteria.
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 Idiopathic Thrombocytopenia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Idiopathic Thrombocytopenia
Use these documentation templates to ensure complete and accurate documentation for Idiopathic Thrombocytopenia. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: HematologyRequired Elements
- Patient history
- Platelet count
- Bone marrow biopsy results
- Exclusion of secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Idiopathic Thrombocytopenia? Ask your questions below.