Primary thrombophilia
ICD-10 D68.5 is a billable code used to indicate a diagnosis of primary thrombophilia.
Primary thrombophilia refers to a group of inherited or acquired disorders that increase the risk of thrombosis due to abnormalities in the coagulation system. These conditions can lead to excessive clot formation in veins and arteries, resulting in complications such as deep vein thrombosis (DVT), pulmonary embolism (PE), and other thrombotic events. Common genetic factors include mutations in the Factor V gene (Leiden mutation) and prothrombin gene mutation, while acquired factors may include antiphospholipid syndrome. Patients with primary thrombophilia often present with a history of recurrent venous thromboembolism, and they may require long-term anticoagulation therapy to manage their condition. Diagnosis typically involves a combination of clinical assessment, family history, and specific laboratory tests to identify coagulation defects. Management strategies focus on preventing thrombotic events through lifestyle modifications and pharmacological interventions, including anticoagulants. Understanding the nuances of primary thrombophilia is crucial for effective patient management and coding accuracy.
Detailed patient history, lab results, and treatment plans must be documented.
Patients presenting with recurrent DVT or PE, family history of thrombosis.
Ensure that all genetic testing results are included in the documentation.
Comprehensive assessment of risk factors and management strategies.
Management of patients on long-term anticoagulation therapy.
Monitor for potential complications of anticoagulation therapy.
Used to evaluate patients with suspected thrombophilia.
Document the reason for the CBC and any relevant findings.
Hematology specialists should ensure thorough documentation of all lab results.
Primary thrombophilia is typically inherited and results from genetic mutations affecting coagulation factors, while secondary thrombophilia is acquired due to conditions such as cancer, pregnancy, or certain medications.
