ICD-10 Coding for Purpura(D69.3, D69.2)
Complete ICD-10-CM coding and documentation guide for Purpura. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Purpura
D69.0-D69.9Primary Range
Purpura and other hemorrhagic conditions
This range includes all types of purpura, distinguishing between thrombocytopenic and nonthrombocytopenic 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 |
|---|---|---|---|
| D69.3 | Immune thrombocytopenic purpura | Use when immune-mediated thrombocytopenia is confirmed with low platelet count and exclusion of other causes. |
|
| D69.2 | Other nonthrombocytopenic purpura | Use when purpura is present with normal platelet count. |
|
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 immune thrombocytopenic purpura
Essential facts and insights about Purpura
Primary ICD-10-CM Codes for purpura
Decision Criteria
clinical Criteria
- Platelet count <100,000/μL and exclusion of drug-induced causes
Applicable To
- Chronic immune thrombocytopenic purpura
- Acute immune thrombocytopenic purpura
Excludes
- Drug-induced thrombocytopenia (D69.51)
Clinical Validation Requirements
- Platelet count <100,000/μL
- Exclusion of drug-induced causes
Code-Specific Risks
- Confusion with nonthrombocytopenic purpura codes
Coding Notes
- Ensure platelet count and exclusion of other causes are documented.
D69.2 - Other nonthrombocytopenic purpura
Use when purpura is present with normal platelet count.
Applicable To
- Senile purpura
- Steroid-induced purpura
Excludes
- Thrombocytopenic purpura (D69.3)
Clinical Validation Requirements
- Normal platelet count
- Characteristic purpura distribution
Coding Notes
Document normal platelet count and specific purpura type.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Heparin-induced thrombocytopenia
D75.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Purpura to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.3.
Impact
Clinical: Misdiagnosis of purpura type., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Implement EHR prompts for platelet count entry, Educate staff on documentation standards
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify platelet count and etiology before coding.
Impact
Audits may focus on verifying platelet count documentation.
Mitigation Strategy
Ensure all records include platelet count and relevant lab results.
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 Purpura, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Purpura
Use these documentation templates to ensure complete and accurate documentation for Purpura. These templates include all required elements for proper coding and billing.
Chronic ITP Documentation
Specialty: HematologyRequired Elements
- Platelet count
- Exclusion of other causes
- Clinical presentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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