ICD-10 Coding for High Platelet Count(D47.3, D75.838)
Complete ICD-10-CM coding and documentation guide for High Platelet Count. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to High Platelet Count
D47-D75Primary Range
Diseases of the blood and blood-forming organs
This range includes codes for various blood disorders, including thrombocytosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D47.3 | Essential thrombocythemia | Use when essential thrombocythemia is confirmed by clinical and laboratory findings. |
|
| D75.838 | Other thrombocytosis | Use for thrombocytosis secondary to another condition, such as post-splenectomy. |
|
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 high platelet count
Essential facts and insights about High Platelet Count
Primary ICD-10-CM Codes for high platelet count
Decision Criteria
clinical Criteria
- JAK2 mutation positive and bone marrow biopsy confirms clonal disorder.
Applicable To
- Primary thrombocytosis
Excludes
- Secondary thrombocytosis (D75.838)
Clinical Validation Requirements
- Platelet count >450,000/µL
- JAK2 mutation positive
- Bone marrow biopsy confirmation
Code-Specific Risks
- Misclassification if secondary causes are not ruled out.
Coding Notes
- Ensure documentation specifies 'essential' or 'primary' to use this code.
D75.838 - Other thrombocytosis
Use for thrombocytosis secondary to another condition, such as post-splenectomy.
Applicable To
- Secondary thrombocytosis
Excludes
- Essential thrombocythemia (D47.3)
Clinical Validation Requirements
- Platelet count >450,000/µL
- Evidence of reactive cause (e.g., infection, inflammation)
Coding Notes
Documentation must specify the secondary cause of thrombocytosis.
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 High Platelet Count to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D47.3.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Educate clinicians on documentation requirements., Implement documentation checklists.
Impact
Reimbursement: May affect DRG assignments and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Query the provider for clarification on whether it's primary or secondary.
Impact
Using unspecified codes without proper documentation.
Mitigation Strategy
Ensure documentation specifies the type of thrombocytosis.
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 High Platelet Count, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for High Platelet Count
Use these documentation templates to ensure complete and accurate documentation for High Platelet Count. These templates include all required elements for proper coding and billing.
Post-splenectomy thrombocytosis
Specialty: HematologyRequired Elements
- Platelet count
- Spleen status
- Underlying condition
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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