tci General Surgery Coding Alert - 2020 Issue Q1

Reader Question: Pick Specific Dx Code for HIT

Question: Our surgeon performed a venous thrombectomy for a patient with a diagnosis of heparin induced thrombocy­topenia. How should we report the thrombosis in this case? New Jersey Subscriber Answer: ICD-10-CM offers a specific code for this condition. Report code D75.82 (Heparin induced thrombocytopenia (HIT)) for thrombocytopenia induced by heparin administration. Know this: Heparin-induced thrombocytopenia is a distinct clinical entity. It is a relatively common life-threatening clinical condition that occurs in 3-5 percent of all patients receiving unfractionated heparin for at least five days. Heparin-induced thrombocytopenia has a distinct clinical presentation that is different from other drug-induced...

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