ICD-10 Coding for Thrombocytopenic Disorder(D69.3, D75.82, D69.6)
Complete ICD-10-CM coding and documentation guide for Thrombocytopenic Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thrombocytopenic Disorder
D69.0-D69.6Primary Range
Purpura and other hemorrhagic conditions
This range includes codes for various types of thrombocytopenia, including immune thrombocytopenic purpura and unspecified thrombocytopenia.
Heparin-induced thrombocytopenia
Specific code for thrombocytopenia induced by heparin, requiring additional coding for the drug's adverse effect.
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 laboratory tests and clinical evaluation. |
|
| D75.82 | Heparin-induced thrombocytopenia (HIT) | Use when thrombocytopenia is linked to heparin use and confirmed by lab tests. |
|
| D69.6 | Unspecified thrombocytopenia | Use only when specific causes are not identified. |
|
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 Thrombocytopenic Disorder
Primary ICD-10-CM Codes for thrombocytopenic disorder
Decision Criteria
clinical Criteria
- Confirmed autoimmune markers and exclusion of other causes.
Applicable To
- Autoimmune thrombocytopenia
Excludes
- Thrombocytopenia due to drugs (D75.82)
Clinical Validation Requirements
- Platelet count <40 x10⁹/L without other causes
- Positive antiplatelet antibodies
Code-Specific Risks
- Misclassification if autoimmune markers are not documented.
Coding Notes
- Ensure autoimmune markers are documented to avoid unspecified coding.
D75.82 - Heparin-induced thrombocytopenia (HIT)
Use when thrombocytopenia is linked to heparin use and confirmed by lab tests.
Applicable To
- Thrombocytopenia due to heparin
Excludes
- Thrombocytopenia due to other drugs
Clinical Validation Requirements
- Platelet drop ≥50% post-heparin
- Positive serotonin-release assay
Coding Notes
Document heparin exposure timeline and lab results.
D69.6 - Unspecified thrombocytopenia
Use only when specific causes are not identified.
Excludes
- Specific types of thrombocytopenia (D69.3, D75.82)
Clinical Validation Requirements
- Platelet count <150 x10⁹/L without documented etiology
Coding Notes
Avoid use if specific thrombocytopenia type is known.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Thrombocytopenic Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.3.
Impact
Clinical: Leads to inappropriate treatment., Regulatory: Increases audit risk., Financial: May result in denied claims.
Mitigation Strategy
Use templates to ensure all elements are documented., Educate providers on documentation requirements.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Reduces accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies the type of thrombocytopenia.
Impact
High audit risk when using D69.6 without specific documentation.
Mitigation Strategy
Document specific causes and 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 Thrombocytopenic Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thrombocytopenic Disorder
Use these documentation templates to ensure complete and accurate documentation for Thrombocytopenic Disorder. These templates include all required elements for proper coding and billing.
ITP Diagnosis in Hematology
Specialty: HematologyRequired Elements
- Etiology
- Lab Confirmation
- Treatment
- Response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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