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ICD-10 Coding for Senile Purpura(D69.2)

Complete ICD-10-CM coding and documentation guide for Senile Purpura. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Actinic PurpuraBateman’s PurpuraPurpura Simplex

Related ICD-10 Code Ranges

Complete code families applicable to Senile Purpura

D69.0-D69.9Primary Range

Purpura and other hemorrhagic conditions

This range includes various types of purpura, with D69.2 specifically covering senile purpura.

Key Information: ICD-10 code for senile purpura

Essential facts and insights about Senile Purpura

The ICD-10 code for senile purpura is D69.2, which includes actinic purpura and Bateman’s purpura.

Primary ICD-10-CM Code for senile purpura

Other nonthrombocytopenic purpura
Billable Code

Decision Criteria

clinical Criteria

  • Presence of non-palpable purpura on sun-exposed areas

documentation Criteria

  • Explicit mention of 'senile purpura' in the assessment

Applicable To

  • Senile purpura
  • Actinic purpura
  • Bateman’s purpura
  • Purpura simplex

Excludes

  • Immune thrombocytopenia (D69.3)
  • Allergic purpura (D69.0)

Clinical Validation Requirements

  • Age ≥50
  • UV-damaged skin
  • Non-palpable purple macules on sun-exposed areas
  • Normal platelet count (150,000-450,000/mm³)

Code-Specific Risks

  • Incorrectly coding as ecchymosis (R23.3)
  • Missing documentation of UV damage

Coding Notes

  • Ensure documentation specifies 'senile purpura' and includes relevant clinical findings.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Long term (current) use of anticoagulants

Z79.0
Use if the patient is on anticoagulant therapy.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Immune thrombocytopenia

D69.3
Platelet count <100,000/mm³

Allergic purpura

D69.0
Palpable rash, IgA vasculitis

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Senile Purpura to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.2.

Impact

Clinical: Misrepresentation of the condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Educate providers on correct terminology., Use templates that prompt for specific terms.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation specifies 'senile purpura' and not just 'bruising' or 'ecchymosis'.

Impact

Coding D69.2 without supporting clinical indicators.

Mitigation Strategy

Ensure documentation includes all necessary clinical findings.

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 Senile Purpura, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Senile Purpura

Use these documentation templates to ensure complete and accurate documentation for Senile Purpura. These templates include all required elements for proper coding and billing.

Dermatology assessment of senile purpura

Specialty: Dermatology

Required Elements

  • Skin examination
  • UV exposure history
  • Platelet count

Example Documentation

Patient presents with thin, atrophic skin and non-blanching purple macules on sun-exposed forearms. Platelet count is within normal limits.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Bruising on arms.
Good Documentation Example
Senile purpura on sun-exposed forearms with normal platelet count.
Explanation
The good example specifies the condition and includes necessary clinical details.

Need help with ICD-10 coding for Senile Purpura? Ask your questions below.

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