ICD-10 Coding for Postpartum Thrombocytopenia(O99.13, O72.3, D69.6)
Complete ICD-10-CM coding and documentation guide for Postpartum Thrombocytopenia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Postpartum Thrombocytopenia
O99.13Primary Range
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium
Primary code for postpartum thrombocytopenia without hemorrhage.
Postpartum coagulation defects
Used when postpartum thrombocytopenia is accompanied by hemorrhage or DIC.
Thrombocytopenia, unspecified
Used for non-obstetric thrombocytopenia or when the condition is not specified as postpartum.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O99.13 | Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium | Use when postpartum thrombocytopenia is present without hemorrhage. |
|
| O72.3 | Postpartum coagulation defects | Use when postpartum thrombocytopenia is accompanied by hemorrhage. |
|
| D69.6 | Thrombocytopenia, unspecified | Use when thrombocytopenia is unrelated to pregnancy or postpartum period. |
|
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 postpartum thrombocytopenia
Essential facts and insights about Postpartum Thrombocytopenia
Primary ICD-10-CM Codes for postpartum thrombocytopenia
Decision Criteria
clinical Criteria
- Absence of hemorrhage with low platelet count postpartum.
Applicable To
- Postpartum thrombocytopenia without hemorrhage
Excludes
- Postpartum thrombocytopenia with hemorrhage (O72.3)
Clinical Validation Requirements
- Platelet count <150×10⁹/L
- No active bleeding or hemorrhage
Code-Specific Risks
- Misclassification if hemorrhage is present
Coding Notes
- Ensure documentation specifies absence of hemorrhage.
O72.3 - Postpartum coagulation defects
Use when postpartum thrombocytopenia is accompanied by hemorrhage.
Applicable To
- Postpartum thrombocytopenia with hemorrhage
Excludes
- Postpartum thrombocytopenia without hemorrhage (O99.13)
Clinical Validation Requirements
- Documented hemorrhage ≥500 mL
- Lab-confirmed DIC
Coding Notes
Ensure hemorrhage is clearly documented.
D69.6 - Thrombocytopenia, unspecified
Use when thrombocytopenia is unrelated to pregnancy or postpartum period.
Applicable To
- Non-obstetric thrombocytopenia
Excludes
- Postpartum thrombocytopenia (O99.13, O72.3)
Clinical Validation Requirements
- Thrombocytopenia not related to pregnancy
Coding Notes
Ensure documentation specifies non-obstetric cause.
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 Postpartum Thrombocytopenia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O99.13.
Impact
Clinical: Misrepresentation of patient condition., Regulatory: Non-compliance with coding guidelines., Financial: Potential for incorrect billing.
Mitigation Strategy
Use templates that prompt for hemorrhage status., Educate staff on documentation requirements.
Impact
Reimbursement: Incorrect DRG assignment leading to overpayment., Compliance: Increased audit risk., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure hemorrhage is documented if using O72.3.
Impact
Using O72.3 without documented hemorrhage increases audit risk.
Mitigation Strategy
Ensure documentation includes hemorrhage details if coding O72.3.
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 Postpartum Thrombocytopenia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Postpartum Thrombocytopenia
Use these documentation templates to ensure complete and accurate documentation for Postpartum Thrombocytopenia. These templates include all required elements for proper coding and billing.
Postpartum thrombocytopenia without hemorrhage
Specialty: ObstetricsRequired Elements
- Patient demographics
- Delivery details
- Platelet count trends
- Absence of hemorrhage
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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