ICD-10 Code D69.42 | Congenital and hereditary thrombocytopenia purpura Symptoms, Diagnosis, Billing

Congenital and hereditary thrombocytopenia purpura is a blood disorder characterized by a deficiency of platelets, leading to increased bleeding and bruising. This condition can arise from genetic mutations affecting platelet production or function. Accurate coding with ICD-10 Code D69.42 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code D69.42 for Congenital and hereditary thrombocytopenia purpura?

ICD-10 Code D69.42 represents congenital and hereditary thrombocytopenia purpura, a condition where individuals have low platelet counts due to genetic factors. This code should be used in clinical documentation and billing when diagnosing patients with this specific type of thrombocytopenia, ensuring accurate representation of the patient's condition and facilitating appropriate treatment and management.

ICD-10 Code D69.42 – Clinical Definition and Explanation of Congenital and hereditary thrombocytopenia purpura

Congenital and hereditary thrombocytopenia purpura is primarily caused by genetic mutations that impair platelet production or function, leading to a significant risk of bleeding. This condition requires medical attention due to its potential complications, including severe hemorrhage. Early diagnosis and management are crucial for improving patient outcomes.

Key Clinical Features:

• Low platelet count (thrombocytopenia) detected through blood tests.
• Increased tendency to bruise or bleed easily.
• Family history of bleeding disorders or thrombocytopenia.
• Symptoms may include petechiae, purpura, and prolonged bleeding from cuts.

ICD-10 Code D69.42 for Congenital and hereditary thrombocytopenia purpura – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D69.42 is utilized to document the diagnosis of congenital and hereditary thrombocytopenia purpura. It plays a vital role in capturing patient symptoms, assessment findings, and treatment plans, ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code D69.42 for Congenital and hereditary thrombocytopenia purpura Mean in SOAP Notes?

ICD-10 Code D69.42 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of congenital and hereditary thrombocytopenia purpura. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D69.42 – Congenital and hereditary thrombocytopenia purpura

Management of congenital and hereditary thrombocytopenia purpura often requires hospitalization, especially in cases of severe bleeding. Treatment focuses on addressing the underlying cause and managing symptoms.

Antibiotic Therapy:

• Not applicable as this condition is not infectious.

Supportive Care:

• Platelet transfusions in cases of severe thrombocytopenia.
• Avoidance of activities that increase bleeding risk.
• Education on recognizing signs of bleeding.

Infection Control:

• Standard precautions to prevent infections, especially in patients with low platelet counts.

How to Document Symptoms of Congenital and hereditary thrombocytopenia purpura (ICD-10 D69.42) in SOAP Notes

Subjective:

• Patient reports easy bruising and frequent nosebleeds.
• Family history of bleeding disorders noted.
• Patient experiences fatigue and occasional petechiae.

Objective:

• Complete blood count shows low platelet count.
• Physical examination reveals multiple bruises and petechiae.
• No signs of active bleeding observed during examination.

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SOAP Note Guidelines for Diagnosing Congenital and hereditary thrombocytopenia purpura (ICD-10 Code D69.42)

Assessment:

• Diagnosis: Congenital and hereditary thrombocytopenia purpura, moderate severity.
• ICD-10 Code: D69.42.
• Contributing factors include genetic predisposition.

Plan:

• Administer platelet transfusions as needed.
• Educate patient on avoiding activities that may cause injury.
• Schedule follow-up appointments to monitor platelet levels.

Treatment & Plan Section for ICD-10 Code D69.42 – Congenital and hereditary thrombocytopenia purpura

• Consider platelet transfusions for severe cases.
• Provide patient education on bleeding precautions.
• Monitor platelet counts regularly.
• Refer to a hematologist for specialized care if necessary.

Using ICD-10 Code D69.42 for Congenital and hereditary thrombocytopenia purpura in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use the code in appropriate clinical settings, including outpatient and inpatient care.
• Align treatment plans with clinical guidelines to support billing.
• Document any relevant comorbidities that may affect treatment.

Related ICD-10 Codes Often Used with Congenital and hereditary thrombocytopenia purpura

• D69.41 – Acquired thrombocytopenic purpura
• D69.49 – Other thrombocytopenic purpura
• D69.3 – Thrombocytopenia, unspecified
• D69.9 – Purpura, unspecified

ICD-10 Code D69.42 in Medical Billing and Insurance for Congenital and hereditary thrombocytopenia purpura

ICD-10 Code D69.42 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use the code in both inpatient and outpatient settings as appropriate.
• Ensure that the patient's medical history is accurately reflected in the documentation.

Common CPT Pairings: