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ICD-10 Guide
ICD-10 CodesD75.84

D75.84

Billable

Other platelet-activating anti-PF4 disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D75.84 is a billable code used to indicate a diagnosis of other platelet-activating anti-pf4 disorders.

Key Diagnostic Point:

D75.84 refers to a specific category of disorders characterized by the presence of antibodies that activate platelets in the presence of platelet factor 4 (PF4). These disorders can lead to thrombocytopenia and are often associated with conditions such as heparin-induced thrombocytopenia (HIT). Patients may present with symptoms related to low platelet counts, including easy bruising, bleeding, and in severe cases, thrombosis. The pathophysiology involves an immune response where antibodies target the PF4 complex, leading to platelet activation and subsequent consumption. This condition can be complicated by associated white blood cell disorders, such as neutropenia, which may arise due to underlying autoimmune processes or as a side effect of treatments. Spleen disorders may also be relevant, as splenic sequestration can exacerbate thrombocytopenia. Additionally, immunodeficiencies may play a role in the development of these disorders, as a compromised immune system can lead to abnormal antibody production. Accurate diagnosis often requires a combination of clinical evaluation, laboratory tests, and sometimes bone marrow examination to rule out other hematological conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of immunological mechanisms
  • Differentiation from other thrombocytopenic disorders
  • Potential overlap with autoimmune conditions
  • Need for comprehensive patient history and lab results

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify associated conditions
  • Misinterpretation of laboratory results
  • Lack of clarity in the relationship between symptoms and diagnosis

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, patient history, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with unexplained thrombocytopenia or recurrent thrombotic events.

Billing Considerations

Consideration of differential diagnoses and the need for comprehensive lab testing.

Immunology

Documentation Requirements

Immunological assessments and antibody testing results should be included.

Common Clinical Scenarios

Patients with autoimmune disorders presenting with hematological abnormalities.

Billing Considerations

Documentation of any underlying immunodeficiencies that may contribute to the condition.

Coding Guidelines

Inclusion Criteria

Use D75.84 When
  • According to ICD
  • 10 guidelines, D75
  • 84 should be used when the specific platelet
  • activating disorder is diagnosed and documented
  • It is important to ensure that the diagnosis is supported by appropriate laboratory findings and clinical evaluation

Exclusion Criteria

Do NOT use D75.84 When
  • Exclusion criteria include other specified thrombocytopenias that do not involve PF4

Related ICD-10 Codes

Related CPT Codes

85027CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate platelet counts and white blood cell disorders.

Documentation Requirements

Document the reason for the CBC and any relevant clinical findings.

Specialty Considerations

Hematologists may require additional tests based on CBC results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of platelet-activating disorders, improving the accuracy of diagnoses and treatment tracking. D75.84 provides a distinct code for conditions that were previously grouped under broader categories, enhancing clinical clarity.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of platelet-activating disorders, improving the accuracy of diagnoses and treatment tracking. D75.84 provides a distinct code for conditions that were previously grouped under broader categories, enhancing clinical clarity.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of platelet-activating disorders, improving the accuracy of diagnoses and treatment tracking. D75.84 provides a distinct code for conditions that were previously grouped under broader categories, enhancing clinical clarity.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms associated with D75.84?

Common symptoms include easy bruising, bleeding, and signs of thrombosis due to low platelet counts.

How is D75.84 diagnosed?

Diagnosis typically involves laboratory tests for anti-PF4 antibodies, complete blood counts, and clinical evaluation of symptoms.