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ICD-10 Coding for Idiopathic Thrombocytopenic Purpura(D69.3)

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

Also known as:

Immune Thrombocytopenic PurpuraITP

Related ICD-10 Code Ranges

Complete code families applicable to Idiopathic Thrombocytopenic Purpura

D69.0-D69.9Primary Range

Purpura and other hemorrhagic conditions

This range includes codes for various types of purpura, including idiopathic thrombocytopenic purpura.

Key Information: ICD-10 code for idiopathic thrombocytopenic purpura

Essential facts and insights about Idiopathic Thrombocytopenic Purpura

Idiopathic thrombocytopenic purpura is coded as D69.3 in ICD-10. Ensure to document platelet count and exclusion of secondary causes for accurate coding.

Primary ICD-10-CM Code for idiopathic thrombocytopenic purpura

Immune thrombocytopenic purpura
Billable Code

Decision Criteria

clinical Criteria

  • Platelet count <100,000/µL with no secondary causes.

documentation Criteria

  • Document exclusion of secondary causes.

Applicable To

  • Idiopathic thrombocytopenic purpura
  • Immune thrombocytopenic purpura

Excludes

  • Drug-induced thrombocytopenia (D59.0)
  • Posttransfusion purpura (D69.82)

Clinical Validation Requirements

  • Platelet count <100,000/µL
  • Exclusion of secondary causes such as leukemia or medication-induced thrombocytopenia

Code-Specific Risks

  • Incorrectly coding secondary thrombocytopenia as primary ITP.

Coding Notes

  • Ensure to differentiate between primary ITP and secondary causes.

Ancillary Codes

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

Petechiae

R23.3
Use for physical exam findings of non-blanching rash.

Epistaxis

R04.0
Use when active bleeding is documented as nosebleed requiring packing.

Long-term (current) use of anticoagulants

Z79.01
Use for patients on long-term corticosteroid therapy.

Differential Codes

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

Other primary thrombocytopenia

D69.49
Use if platelet destruction is not immune-mediated.

Drug-induced hemolytic anemia

D59.0
Use when thrombocytopenia is medication-related.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Idiopathic Thrombocytopenic Purpura to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D69.3.

Impact

Clinical: Misdiagnosis of ITP., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Thorough patient history and lab work., Clear documentation of negative findings.

Impact

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

Mitigation Strategy

Use D69.82 for post-transfusion purpura.

Impact

Failure to document exclusion of secondary causes can lead to audit findings.

Mitigation Strategy

Ensure comprehensive documentation of negative 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 Idiopathic Thrombocytopenic Purpura, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Idiopathic Thrombocytopenic Purpura

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

Emergency Department Note

Specialty: Hematology

Required Elements

  • Assessment of ITP
  • Platelet count documentation
  • Exclusion of secondary causes
  • Treatment plan

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient with low platelets. Bruising present.
Good Documentation Example
Assessment: Immune thrombocytopenic purpura (ICD-10: D69.3). Platelet count: 28,000/µL. Negative heparin-PF4 antibody, normal fibrinogen. No hepatosplenomegaly on abdominal ultrasound. Plan: Methylprednisolone 1mg/kg IV initiated.
Explanation
The good example provides specific diagnosis, lab values, and treatment plan.

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

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