icd-!) code for hypercoagulable state

What is the ICD 10 code for primary hypercoagulable state?

289.81 is a legacy non-billable code used to specify a medical diagnosis of primary hypercoagulable state. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

What is a hypercoagulable state?

Patients are considered to have a hypercoagulable state if they have laboratory abnormalities or clinical conditions that are associated with increased risk of thrombosis. The hypercoagulable states are a group of acquired and inherited disorders that increase the risk of abnormal development of blood clots. They are divided into:

Can a coder determine primary or secondary hypercoagulable state?

If only hypercoagulable state is diagnosed, can the coder look at the patient’s other diseases/diagnoses and determine by that if they have primary or secondary? NO! Only the physician can make the link between the cause/effect. The most common cause of inherited hypercoagulable state is activated protein C resistance (factor V Leiden)

How is hypercoagulable state diagnosed?

The diagnosis of hypercoagulable state is based on clinical judgement and evaluation of the patient. The tests that are ordered based on the history and examination of the patient. These tests can include: • CBC • PT • PTT • Thrombodynamics test • Thrombin time • Lupus anticoagulant • Anti-cardiolipin antibody Diagnosis ©2017 Trinity Health 19

What is the ICD 10 code for hypercoagulable state?

59.

What is the ICD 10 code for secondary hypercoagulable state?

Yes, ICD 10 code D68. 69 (Other thrombophilia) groups multiple ICD 9 code descriptors within this category including secondary hypercoagulable state (previously 289.82).

What is secondary hypercoagulable state?

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.

What is the ICD 10 code for coagulopathy?

ICD-10 Code for Coagulation defect, unspecified- D68. 9- Codify by AAPC.

What is hypercoagulable state?

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).

What does Hypercoagulability mean?

Definition of hypercoagulability : a state or condition marked by an increased tendency to form blood clots within a blood vessel : excessive coagulability …

What is the most common hypercoagulable state?

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.

What are the primary causes of hypercoagulability?

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.

What causes Hypercoagulation?

Hypercoagulation can be an acquired or inherited condition. Acquired hypercoagulation is caused by a disease or other condition. Examples include obesity, pregnancy, use of birth control pills, or cancer. Inherited coagulation is caused by genes that have been passed to you from a parent.

What is the ICD 10 code for chronic anticoagulation?

ICD-10-CM Code for Long term (current) use of anticoagulants Z79. 01.

When do you code a D68 9?

To assign D68. 9, the provider needs to specifically diagnose and documented by the provider, as well as indicate it is not contributed to a prescribed anticoagulant therapy.

What ICD-10 covers PT PTT?

NCD - Partial ThromboplastinTime (PTT) (190.16)

Inherited Clotting Disorders

Factor V Leiden mutation—this is the most common inherited factor associated hypercoagulopathy

Acquired Clotting Disorders

Malignancy—coders see this often documented as the cause of thrombosis. These malignancies are either known or occult

Coding Concerns and Facts

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.

Happy Coding!

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.

What is the code for blood and blood-forming organs?

Code Classification. Diseases of the blood and blood-forming organs (280–289) Diseases of the blood and blood-forming organs (280-289) 289 Other diseases of blood and blood-forming organs.

When an excludes2 note appears under a code, is it acceptable to use both the code and the excluded code

When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate. Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.