Hypercoagulable state, secondary; Thrombophilia; ICD-10-CM D68.69 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 814 Reticuloendothelial and immunity disorders with mcc; 815 Reticuloendothelial and immunity disorders with cc; 816 Reticuloendothelial and immunity disorders without cc/mcc; Convert D68.69 to ICD-9-CM. Code History
Hypercoagulable state (tendency to form clots) Protein c deficiency disease; Protein s deficiency disease; Clinical Information. A disorder of hemostasis in which there is a tendency for the occurrence of thrombosis. A rare disorder characterized by the presence of low levels of antithrombin iii which prohibits the formation of blood clots.
This is the American ICD-10-CM version of D68.9 - other international versions of ICD-10 D68.9 may differ. A condition in which there is a deviation from or interruption of the normal coagulation properties of the blood.
The most common cause of inherited hypercoagulable state is activated protein C resistance (factor V Leiden) Malignancy/cancer is the second most common cause of hypercoagulable state and accounts for 10% to 20% of spontaneous venous thromboses
59.
Secondary hypercoagulable states are primarily acquired disorders that. predispose to thrombosis through complex and multifactorial mechanisms. These involve blood flow abnormalities or defects in blood composition and of. vessel walls.
Yes, ICD 10 code D68. 69 (Other thrombophilia) groups multiple ICD 9 code descriptors within this category including secondary hypercoagulable state (previously 289.82).
Hypercoagulability describes the pathologic state of exaggerated coagulation or coagulation in the absence of bleeding. Arterial thrombosis, such as in myocardial infarction and stroke, is different from venous thromboses, such as deep venous thrombosis (DVT) and pulmonary embolism (PE).
Diagnosis of hypercoagulability can include blood tests to look at the levels of anticoagulant proteins, as well as genetic testing to identify the most common inherited thrombophilias.
A useful mnemonic for the common causes of hypercoagulability is CALMSHAPES: protein C deficiency, Antiphospholipid antibody syndrome, factor V Leiden; Malignancy, protein S deficiency, Homocystinemia, Antithrombin deficiency, Prothrombin G20210A, increased factor VIII (Eight), Sticky platelet syndrome.
Abstract. It is well known that atrial fibrillation is associated with high incidence of thromboembolic events, propably due to a prothrombotic or hypercoagulable state.
01 Long term (current) use of anticoagulants.
Symptoms of hypercoagulationChest pain.Shortness of breath.Discomfort in the upper body, including chest, back, neck, or arms.
Based on current knowledge, antiphospholipid syndrome is the most prevalent hypercoagulable state, followed by factor V Leiden (FVL) mutation, prothrombin gene G20210A mutations, elevated factor VIII, and hyperhomocysteinemia. Less common disorders include deficiencies in antithrombin, protein C, or protein S.
Patients with acquired hypercoagulable states or hereditary thrombophilia are more likely to develop clots, venous thrombosis, and arterial thrombosis, than healthy individuals. Venous thrombosis and pulmonary embolism are associated with significant morbidity and mortality.
Symptoms of hypercoagulationChest pain.Shortness of breath.Discomfort in the upper body, including chest, back, neck, or arms.
A procoagulant state has been found to exist in diabetes mellitus. There may be activation of the intrinsic coagulation system, decreased fibrinolytic activity, or alterations in platelet function.
What is thrombophilia? Your blood forms clots to help stop bleeding. If you have thrombophilia, it means your blood can form clots too easily. Blood clots can be very serious and need to be treated quickly.
Factor V Leiden mutation—this is the most common inherited factor associated hypercoagulopathy
Malignancy—coders see this often documented as the cause of thrombosis. These malignancies are either known or occult
So, now that we know a little more about what a hypercoagulable state is, let’s look at some of the coding concerns that may arise.
The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.