ICD-10 Coding for Decreased Platelets(D69.3, D69.5, D69.6)
Complete ICD-10-CM coding and documentation guide for Decreased Platelets. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Decreased Platelets
D69.3-D69.6Primary Range
Thrombocytopenia codes including immune and secondary causes
These codes cover various forms of thrombocytopenia, including immune and secondary causes, and are essential for accurate diagnosis coding.
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, unspecified | Use when thrombocytopenia is immune-mediated without a specified type. |
|
| D69.5 | Secondary thrombocytopenia | Use when thrombocytopenia is secondary to another condition. |
|
| D69.6 | Thrombocytopenia, unspecified | Use when the cause of thrombocytopenia is not documented. |
|
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 decreased platelets
Essential facts and insights about Decreased Platelets
Primary ICD-10-CM Codes for decreased platelets
Decision Criteria
clinical Criteria
- Platelet count below 100,000/mm³ with no secondary causes
Applicable To
- Idiopathic thrombocytopenic purpura
- Autoimmune thrombocytopenia
Excludes
- Drug-induced thrombocytopenia (D61.1)
Clinical Validation Requirements
- Platelet count <100,000/mm³
- Exclusion of secondary causes
- Documentation of immune-mediated destruction
Code-Specific Risks
- Misclassification if secondary causes are not excluded
Coding Notes
- Ensure documentation specifies 'immune' or 'autoimmune' to use this code.
D69.5 - Secondary thrombocytopenia
Use when thrombocytopenia is secondary to another condition.
Applicable To
- Thrombocytopenia due to drugs
- Thrombocytopenia due to other diseases
Excludes
- Primary immune thrombocytopenia (D69.3)
Clinical Validation Requirements
- Documentation of secondary cause
- Temporal relationship to drug or condition
Coding Notes
Ensure the primary condition is documented and coded first.
D69.6 - Thrombocytopenia, unspecified
Use when the cause of thrombocytopenia is not documented.
Applicable To
- Low platelet count NOS
Excludes
- Specific types of thrombocytopenia (D69.3, D69.5)
Clinical Validation Requirements
- Platelet count below normal range
- No specific cause identified
Coding Notes
Ensure thorough documentation review to confirm no specific cause is identified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Decreased Platelets to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.3.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Educate clinicians on documentation standards, Implement documentation templates
Impact
Reimbursement: May lead to lower reimbursement due to undercoding., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts data accuracy and quality.
Mitigation Strategy
Review documentation for specific causes and use appropriate specific codes.
Impact
Using D69.6 when specific causes are documented.
Mitigation Strategy
Regular audits and coder education on specific cause documentation.
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 Decreased Platelets, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Decreased Platelets
Use these documentation templates to ensure complete and accurate documentation for Decreased Platelets. These templates include all required elements for proper coding and billing.
Chronic immune thrombocytopenia
Specialty: HematologyRequired Elements
- Platelet count
- Exclusion of secondary causes
- Immune-mediated documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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