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v1.0.0
ICD-10 Guide
ICD-10 CodesD69.9

D69.9

Billable

Hemorrhagic condition, unspecified

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

Code Description

ICD-10 D69.9 is a billable code used to indicate a diagnosis of hemorrhagic condition, unspecified.

Key Diagnostic Point:

D69.9 refers to an unspecified hemorrhagic condition, which encompasses a range of bleeding disorders that may arise from various underlying causes. These conditions can include coagulation defects, such as deficiencies in clotting factors, and platelet disorders like thrombocytopenia, where there is a reduced number of platelets leading to increased bleeding risk. Hemophilia, a genetic disorder characterized by the deficiency of specific clotting factors, is a notable example of a bleeding disorder that may fall under this code when not specified further. Patients may present with spontaneous bleeding, prolonged bleeding after injury, or excessive bleeding during surgical procedures. The unspecified nature of this code indicates that the exact cause of the hemorrhage has not been determined or documented, which can complicate treatment and management. Accurate coding is essential for appropriate patient care and reimbursement, as it reflects the severity and complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in documentation
  • Variety of underlying causes for hemorrhagic conditions
  • Potential overlap with other bleeding disorders
  • Need for comprehensive patient history to determine cause

Audit Risk Factors

  • Insufficient documentation of the underlying cause
  • Use of unspecified codes without adequate justification
  • Inconsistent clinical findings in patient records
  • Failure to document prior bleeding episodes

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, including family history of bleeding disorders, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained bruising, prolonged bleeding after minor injuries, or bleeding during surgical procedures.

Billing Considerations

Ensure that all relevant lab tests (e.g., PT, aPTT, platelet count) are documented to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings, including any medications that may affect coagulation.

Common Clinical Scenarios

Patients with a history of easy bruising or those on anticoagulant therapy presenting with bleeding.

Billing Considerations

Document any referrals to specialists for further evaluation of bleeding disorders.

Coding Guidelines

Inclusion Criteria

Use D69.9 When
  • According to ICD
  • 10 coding guidelines, D69
  • 9 should be used when the specific type of hemorrhagic condition is not documented
  • Coders should ensure that all relevant clinical information is captured to support the use of this code

Exclusion Criteria

Do NOT use D69.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete Blood Count (CBC) with Platelet Count

Clinical Scenario

Used to evaluate patients presenting with bleeding symptoms.

Documentation Requirements

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

Specialty Considerations

Hematologists may require additional tests based on initial CBC results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of hemorrhagic conditions, but the use of unspecified codes like D69.9 can lead to challenges in capturing the complexity of patient conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of hemorrhagic conditions, but the use of unspecified codes like D69.9 can lead to challenges in capturing the complexity of patient conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of hemorrhagic conditions, but the use of unspecified codes like D69.9 can lead to challenges in capturing the complexity of patient conditions.

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

When should I use D69.9?

D69.9 should be used when there is a documented hemorrhagic condition but the specific type or cause is not identified. Ensure that all relevant clinical information is captured to support the use of this code.