ICD-10 Coding for Low Platelet Count(D69.6, D69.3, D69.5)
Complete ICD-10-CM coding and documentation guide for Low Platelet Count. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Low Platelet Count
D69.0-D69.6Primary Range
Purpura and other hemorrhagic conditions
This range includes various types of thrombocytopenia, including unspecified and immune-related forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D69.6 | Thrombocytopenia, unspecified | Use when the cause of thrombocytopenia is unknown or not documented. |
|
| D69.3 | Immune thrombocytopenic purpura (ITP) | Use when ITP is confirmed by diagnostic criteria. |
|
| D69.5 | Secondary thrombocytopenia | Use when thrombocytopenia is due to a specific secondary cause. |
|
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 low platelets
Essential facts and insights about Low Platelet Count
Primary ICD-10-CM Codes for low platelet
Decision Criteria
clinical Criteria
- No specific cause identified for low platelet count.
Applicable To
- Low platelet count without specified cause
Excludes
- Drug-induced thrombocytopenia (D69.5)
- Thrombocytopenia due to other specified causes
Clinical Validation Requirements
- Platelet count <150 x10^9/L
- Exclusion of specific causes
Code-Specific Risks
- Risk of audits if used without ruling out specific causes
Coding Notes
- Ensure thorough documentation to avoid defaulting to unspecified codes.
D69.3 - Immune thrombocytopenic purpura (ITP)
Use when ITP is confirmed by diagnostic criteria.
Applicable To
- Chronic ITP
- Acute ITP
Excludes
- Secondary thrombocytopenia (D69.5)
Clinical Validation Requirements
- Positive antiplatelet antibodies
- Exclusion of other causes
Coding Notes
Document exclusion of other causes and presence of antiplatelet antibodies.
D69.5 - Secondary thrombocytopenia
Use when thrombocytopenia is due to a specific secondary cause.
Applicable To
- Drug-induced thrombocytopenia
- Thrombocytopenia due to autoimmune disorders
Excludes
- Primary ITP (D69.3)
Clinical Validation Requirements
- Temporal relationship with drug use or autoimmune flare
- Laboratory confirmation of secondary cause
Coding Notes
Ensure the underlying cause is documented and coded.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Low Platelet Count to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.6.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential for reduced reimbursement
Mitigation Strategy
Thoroughly document patient history, Include all relevant lab results
Impact
Reimbursement: May lead to lower reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate data for clinical analysis
Mitigation Strategy
Use D69.5 with the appropriate secondary cause code
Impact
Using unspecified codes when specific causes are documented
Mitigation Strategy
Ensure thorough documentation and use 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 Low Platelet Count, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Low Platelet Count
Use these documentation templates to ensure complete and accurate documentation for Low Platelet Count. These templates include all required elements for proper coding and billing.
Hematology Clinic Visit
Specialty: HematologyRequired Elements
- Patient history
- Physical examination findings
- Laboratory results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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