ICD-10 Coding for Thrombocytopenia(D69.3, D69.5, D69.6)
Complete ICD-10-CM coding and documentation guide for Thrombocytopenia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thrombocytopenia
D69.0-D69.6Primary Range
Purpura and other hemorrhagic conditions
This range includes codes for various types of thrombocytopenia, including immune and unspecified forms.
Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth, and the puerperium
This range includes gestational thrombocytopenia, which is relevant during pregnancy.
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 (ITP) | Use when ITP is confirmed by exclusion of secondary causes. |
|
| D69.5 | Secondary thrombocytopenia | Use when thrombocytopenia is secondary to another condition or drug. |
|
| D69.6 | Unspecified thrombocytopenia | Use only when the specific cause of thrombocytopenia cannot be determined. |
|
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 Thrombocytopenia
Primary ICD-10-CM Codes for thrombocytopenia
Decision Criteria
clinical Criteria
- Confirmed ITP with platelet count <100 ×10³/µL
Applicable To
- Idiopathic thrombocytopenic purpura
Excludes
- Thrombocytopenia due to drugs (D69.5)
Clinical Validation Requirements
- Platelet count <100 ×10³/µL
- Positive antiplatelet antibody test
Code-Specific Risks
- Misclassification if secondary causes are not ruled out.
Coding Notes
- Ensure documentation specifies ITP and excludes secondary causes.
D69.5 - Secondary thrombocytopenia
Use when thrombocytopenia is secondary to another condition or drug.
Applicable To
- Drug-induced thrombocytopenia
Excludes
- ITP (D69.3)
Clinical Validation Requirements
- Temporal relationship with causative agent
- Documentation of underlying condition
Coding Notes
Ensure the causative agent or condition is documented.
D69.6 - Unspecified thrombocytopenia
Use only when the specific cause of thrombocytopenia cannot be determined.
Excludes
- ITP (D69.3)
- Secondary thrombocytopenia (D69.5)
Clinical Validation Requirements
- Etiology unknown after workup
Coding Notes
Avoid use if a more specific code is available.
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 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: Inaccurate treatment plans., Regulatory: Potential audit issues., Financial: Denial of claims.
Mitigation Strategy
Always document the causative agent., Use templates to ensure completeness.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Query provider to confirm if it is immune or unspecified thrombocytopenia.
Impact
High risk of audit if D69.6 is overused without proper documentation.
Mitigation Strategy
Ensure thorough documentation of workup and exclusion of specific causes.
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 Thrombocytopenia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thrombocytopenia
Use these documentation templates to ensure complete and accurate documentation for Thrombocytopenia. These templates include all required elements for proper coding and billing.
Hematology Evaluation
Specialty: HematologyRequired Elements
- History of bleeding disorders
- Medication history
- Physical examination findings
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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