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v1.0.0
ICD-10 Guide
ICD-10 CodesD69.8

D69.8

Billable

Other specified hemorrhagic conditions

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

Code Description

ICD-10 D69.8 is a billable code used to indicate a diagnosis of other specified hemorrhagic conditions.

Key Diagnostic Point:

D69.8 encompasses a variety of hemorrhagic conditions that do not fall under more specific categories. This includes various coagulation defects, bleeding disorders, and conditions such as thrombocytopenia and hemophilia. Coagulation defects can arise from genetic factors, liver disease, or vitamin K deficiency, leading to an increased risk of bleeding. Hemophilia, a hereditary disorder, is characterized by the deficiency of specific clotting factors, resulting in prolonged bleeding episodes. Thrombocytopenia, defined as a low platelet count, can be caused by conditions such as bone marrow disorders, autoimmune diseases, or the effects of certain medications. Anticoagulation therapy, often prescribed for conditions like atrial fibrillation or venous thromboembolism, can also lead to bleeding complications. Accurate coding of D69.8 requires a thorough understanding of the underlying conditions and their clinical implications, as well as the specific circumstances surrounding each patient's bleeding episodes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can lead to hemorrhage
  • Need for detailed clinical documentation to support the diagnosis
  • Differentiation from other hemorrhagic codes
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of the underlying cause of hemorrhage
  • Failure to specify the type of bleeding disorder
  • Misclassification of hemorrhagic conditions
  • Inconsistent coding across different encounters

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

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

Common Clinical Scenarios

Patients with hemophilia experiencing bleeding episodes, or those with acquired coagulation disorders.

Billing Considerations

Ensure that all relevant lab tests and their results are included in the documentation to support the diagnosis.

Internal Medicine

Documentation Requirements

Comprehensive patient history, medication lists, and any relevant imaging or lab results.

Common Clinical Scenarios

Patients on anticoagulation therapy presenting with unexplained bleeding.

Billing Considerations

Document the indication for anticoagulation and any monitoring performed to avoid confusion with other bleeding disorders.

Coding Guidelines

Inclusion Criteria

Use D69.8 When
  • According to ICD
  • 10 guidelines, D69
  • 8 should be used when the specific type of hemorrhagic condition is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use D69.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count with automated differential

Clinical Scenario

Used to evaluate patients with suspected bleeding disorders.

Documentation Requirements

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

Specialty Considerations

Hematology specialists may require additional tests based on initial findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hemorrhagic conditions, improving the accuracy of diagnoses and treatment plans. D69.8 provides a broader category for conditions that may not have been adequately captured in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hemorrhagic conditions, improving the accuracy of diagnoses and treatment plans. D69.8 provides a broader category for conditions that may not have been adequately captured in ICD-9.

Reimbursement & Billing Impact

reimbursement.

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 conditions are included under D69.8?

D69.8 includes various hemorrhagic conditions that are not classified elsewhere, such as certain coagulation defects, bleeding disorders, and thrombocytopenia.