Purpura and other hemorrhagic conditions
Chapter 3:Diseases of the blood and blood-forming organs
ICD-10 D69 is a billable code used to indicate a diagnosis of purpura and other hemorrhagic conditions.
Purpura and other hemorrhagic conditions encompass a range of disorders characterized by bleeding into the skin and mucous membranes, leading to the appearance of purpura, petechiae, and ecchymosis. These conditions can arise from various underlying causes, including coagulation defects, thrombocytopenia, and vascular abnormalities. Coagulation defects may be inherited, such as hemophilia A and B, or acquired due to liver disease or vitamin K deficiency. Thrombocytopenia, a condition marked by low platelet counts, can result from bone marrow disorders, autoimmune diseases, or the effects of certain medications. Anticoagulation therapy, often used to prevent thromboembolic events, can also lead to bleeding complications if not monitored properly. Accurate diagnosis and management of these conditions require a thorough understanding of the underlying pathophysiology, as well as careful monitoring of laboratory values such as platelet counts and coagulation profiles. Clinicians must differentiate between various types of purpura, including thrombocytopenic purpura and non-thrombocytopenic purpura, to ensure appropriate treatment and coding.
Detailed lab results, patient history, and treatment plans must be documented to support the diagnosis.
Patients presenting with unexplained bruising, bleeding gums, or prolonged bleeding after minor injuries.
Ensure that all laboratory findings, including platelet counts and coagulation profiles, are clearly documented.
Comprehensive patient history and physical examination findings, including medication history.
Patients with chronic conditions leading to secondary thrombocytopenia or those on anticoagulant therapy.
Document any changes in medication or treatment plans that may affect bleeding risk.
Used to evaluate patients presenting with purpura or bleeding symptoms.
Document the indication for the CBC and any relevant clinical findings.
Hematology specialists may require additional tests based on initial findings.
Thrombocytopenic purpura is caused by low platelet counts, while non-thrombocytopenic purpura occurs despite normal platelet levels, often due to vascular issues or coagulation factor deficiencies.
