Hemorrhagic disorder due to circulating anticoagulants
ICD-10 D68.3 is a billable code used to indicate a diagnosis of hemorrhagic disorder due to circulating anticoagulants.
Hemorrhagic disorder due to circulating anticoagulants is characterized by the presence of antibodies that inhibit the function of coagulation factors, leading to an increased risk of bleeding. This condition can arise from various underlying causes, including autoimmune disorders, the presence of lupus anticoagulants, or as a complication of anticoagulant therapy. Patients may present with symptoms such as easy bruising, prolonged bleeding from cuts, or spontaneous bleeding episodes. Laboratory tests typically reveal prolonged clotting times, and specific assays may be required to identify the presence of circulating anticoagulants. Management often involves addressing the underlying cause, monitoring coagulation parameters, and in some cases, administering pro-coagulant therapies or adjusting anticoagulant medications. Understanding the nuances of this disorder is crucial for accurate diagnosis and effective treatment.
Detailed patient history, laboratory results, and treatment plans must be documented.
Patients presenting with unexplained bleeding, recurrent hemarthrosis, or abnormal coagulation profiles.
Ensure that all relevant laboratory tests are included in the documentation to support the diagnosis.
Documentation of autoimmune conditions and their relation to bleeding disorders is essential.
Patients with lupus presenting with bleeding complications.
Document the relationship between autoimmune disorders and the presence of circulating anticoagulants.
Used to evaluate the patient's overall blood health and detect thrombocytopenia.
Document the reason for the CBC and any relevant symptoms.
Hematologists may require additional tests to assess coagulation status.
Common causes include autoimmune diseases such as lupus, certain infections, and complications from anticoagulant therapy. It is essential to evaluate the patient's history and laboratory results to determine the underlying cause.
