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ICD-10 Guide
ICD-10 CodesZ14.02

Z14.02

Symptomatic hemophilia A carrier

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z14.02 is a billable code used to indicate a diagnosis of symptomatic hemophilia a carrier.

Key Diagnostic Point:

Z14.02 is used to classify individuals who are carriers of hemophilia A and exhibit symptoms related to the condition. Hemophilia A is a genetic disorder caused by a deficiency in clotting factor VIII, leading to prolonged bleeding. Carriers may experience symptoms such as easy bruising or prolonged bleeding after injuries or surgeries. Understanding the social determinants of health is crucial, as factors like access to healthcare, socioeconomic status, and education can influence the management of this condition. Preventive care includes regular screenings for bleeding disorders, genetic counseling, and education on managing symptoms. Screening for carriers often involves family history assessments and factor level testing. Aftercare may involve monitoring for complications and providing support for lifestyle adjustments to minimize bleeding risks.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of genetic conditions and their implications.
  • Documentation must include symptomatology and family history.
  • Potential for co-morbid conditions that may complicate coding.
  • Need for precise coding to avoid misclassification with other bleeding disorders.

Audit Risk Factors

  • Inadequate documentation of symptoms leading to potential denials.
  • Failure to include family history in the medical record.
  • Misclassification with other bleeding disorders.
  • Lack of preventive care documentation.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documenting patient history, symptoms, and preventive care measures.

Common Clinical Scenarios

Routine checkups, screenings for bleeding disorders, and aftercare management.

Billing Considerations

Consideration of social determinants such as access to care and education on managing symptoms.

Public Health

Documentation Requirements

Population-level data collection and surveillance of hemophilia carriers.

Common Clinical Scenarios

Epidemiological studies and community health screenings.

Billing Considerations

Tracking health status and outcomes in populations affected by hemophilia.

Coding Guidelines

Inclusion Criteria

Use Z14.02 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 02 should be sequenced appropriately, often as a secondary diagnosis when a primary condition is present
  • Payer requirements may vary, so it's essential to verify specific guidelines for coverage

Exclusion Criteria

Do NOT use Z14.02 When
No specific exclusions found.

Related CPT Codes

81270CPT Code

Factor VIII gene analysis

Clinical Scenario

Used for genetic testing in symptomatic carriers.

Documentation Requirements

Documentation of symptoms and family history is required.

Specialty Considerations

Primary care providers should ensure thorough documentation to support testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding conditions like hemophilia A, improving the accuracy of health records and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding conditions like hemophilia A, improving the accuracy of health records and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding conditions like hemophilia A, improving the accuracy of health records and facilitating better patient management.

Resources

Clinical References

  • •
    CDC Hemophilia A Information

Coding & Billing References

  • •
    CDC Hemophilia A Information

Frequently Asked Questions

What documentation is required for coding Z14.02?

Documentation must include a clear statement of symptoms, family history of hemophilia, and any preventive care measures taken. This ensures accurate coding and supports the medical necessity of services provided.