Hemorrhage, due to anticoagulant or thrombolytic drug: Difference between revisions

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== Additional Info ==
== Additional Info ==
{{DA |
*For someone on an anticoagulant drug, it's always a judgement call to decide if the bleed is due to the drug.
*If a patient is on Rivaroxaban, heparin infusion, or coumadin I have been adding this code if my patient develops any sort of GI bleed, regardless of the PTT/INR results. I am curious as to whether other people are using this code in the same way?Mlagadi 08:01, 2017 August 25 (CDT)
**For the "old" anticoagulants, such as iv heparin and coumadin, it's relatively simple -- see if the PT, PTT or INR are elevated and if so then we'd typically say "yes".
** I have been using this code in the same way as well. I believe Elaine also uses it as well. DPageNewton 13:53, 2017 August 29 (CDT)
**But for the new anticoagulants that don't raise the PT, PTT or INR it's HARD --- and you need to make a judgement. The truth is that most of the time the answer will be "probably", in that it's very hard to know whether that person would have had that bleed without the drug. So, unless the medical team feels that that bleed is NOT likely related (either primarily OR even as a secondary contributing factor) to the anticoagulant, you SHOULD link this code to the code for whatever was bleeding (e.g. GI bleed).
** I do not always do this but the main thing is that the GI bleed is coded. If it is clear that the anticoagulation is causing the bleed, then I code this. --LKolesar 14:27, 2017 August 29 (CDT)
** I think the distinction here is: do you always code this if there is a GI Bleed for a pt on coagulation, or only if there are indications that they are related. Is that the question? I will pull Julie in on this as well since she would be reporting on this. Ttenbergen 17:44, 2017 September 6 (CDT) }}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==

Latest revision as of 17:12, 2019 January 9

ICD10 Diagnosis
Dx: Hemorrhage, due to anticoagulant or thrombolytic drug
ICD10 code: D68.3
Pre-ICD10 counterpart: Complication of anticoagulation therapy
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • D68.3
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories

Additional Info

  • For someone on an anticoagulant drug, it's always a judgement call to decide if the bleed is due to the drug.
    • For the "old" anticoagulants, such as iv heparin and coumadin, it's relatively simple -- see if the PT, PTT or INR are elevated and if so then we'd typically say "yes".
    • But for the new anticoagulants that don't raise the PT, PTT or INR it's HARD --- and you need to make a judgement. The truth is that most of the time the answer will be "probably", in that it's very hard to know whether that person would have had that bleed without the drug. So, unless the medical team feels that that bleed is NOT likely related (either primarily OR even as a secondary contributing factor) to the anticoagulant, you SHOULD link this code to the code for whatever was bleeding (e.g. GI bleed).

Alternate ICD10s to consider coding instead or in addition

Hemorrhage codes:

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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