Hypercoaguable state

tcgarza@stcharleshealthcare.orgtcgarza@stcharleshealthcare.org
in Clinical & Coding

Any thoughts on the following statement. It's from ACDIS coding clinic update August 2011.

"Note, however, that if a patient has a history of a deep venous thrombosis, is on chronic warfarin therapy, is not in atrial fibrillation, does not have a prosthetic heart valve, and does not currently have a clot, it is likely that a hypercoagulable state exists. Coding Clinic’s opinion is different, based on its advice of Third Quarter 2008, pp. 16–17, which states that the presence of a deep venous thrombosis does not imply the presence of a hypercoagulable state, even though this is part of Virchow’s triad."

If a patient meets the criteria in the 1st part of the above statement, should I query for hypercoagulable state?

Thanks!

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