Secondary thrombocytopenia
ICD-10 D69.5 is a billable code used to indicate a diagnosis of secondary thrombocytopenia.
Secondary thrombocytopenia refers to a condition characterized by a decrease in platelet count due to underlying medical conditions or external factors rather than a primary hematological disorder. This condition can arise from various causes, including bone marrow disorders, autoimmune diseases, infections, and the effects of certain medications. In cases of secondary thrombocytopenia, the underlying cause must be identified and treated to manage the platelet count effectively. Common conditions associated with secondary thrombocytopenia include chronic liver disease, hypersplenism, and certain malignancies. Patients may present with symptoms such as easy bruising, prolonged bleeding from cuts, and petechiae. The management of secondary thrombocytopenia often involves addressing the underlying condition, and in some cases, platelet transfusions may be necessary to prevent severe bleeding. It is crucial for healthcare providers to monitor platelet levels and assess the risk of bleeding, especially in patients undergoing anticoagulation therapy or those with coagulation defects. Accurate coding of secondary thrombocytopenia is essential for appropriate treatment and reimbursement.
Detailed clinical history, lab results, and treatment plans must be documented.
Patients with autoimmune disorders presenting with low platelet counts.
Ensure that the underlying cause is clearly identified and documented.
Documentation of cancer diagnosis, treatment regimens, and their effects on platelet counts.
Patients undergoing chemotherapy experiencing thrombocytopenia.
Document the relationship between cancer treatment and thrombocytopenia.
Used to monitor platelet levels in patients with secondary thrombocytopenia.
Document the reason for the CBC and any relevant clinical findings.
Hematologists may require more detailed lab interpretations.
Primary thrombocytopenia is a condition where low platelet counts occur without an identifiable underlying cause, often due to bone marrow disorders. Secondary thrombocytopenia, on the other hand, is caused by other medical conditions or factors that affect platelet production or destruction.
