Definition. Hypercoagulable states are clinical disorders of the blood that increase the patient's risk for developing thromboembolic disease. A risk factor (inherited or acquired) for the development of a thrombus can be identified in more than 80% of patients with a clot, and there may be multiple factors present.
289.82 - Secondary hypercoagulable state | ICD-10-CM.
Secondary hypercoagulable states are generally acquired disorders in patients with underlying systemic diseases or clinical conditions known to be associated with an increased risk of thrombosis: for example, malignancy, pregnancy, use of oral contraceptives, myeloproliferative disorders, hyperlipidemia, diabetes ...
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
59.
E78.5ICD-10 | Hyperlipidemia, unspecified (E78. 5)
2022 ICD-10-CM Diagnosis Code Z51. 81: Encounter for therapeutic drug level monitoring.
The code Z71. 89 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
CPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.Sep 13, 2021
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.