Utilizing Code D68.32 (Hemorrhagic disorder due to extrinsic circulating anticoagulants)

deb-dallos@smh.comdeb-dallos@smh.com
in Clinical & Coding

Can you provide information on the use of D68.32 (Hemorrhagic disorder due to extrinsic circulating anticoagulants) for a patient on aspirin therapy who returns to surgery for a repair of a bleed?   This code is an exclusion for PSI 09.  Does the aspirin therapy need to be the reason for the bleed?  We believe it is inappropriate to capture D68.32 in a scenario where the aspirin therapy may be making the bleed worse but is not the underlying etiology of the bleed.    What are your thoughts and what guidelines do you follow at your organization?

Comments

  • BTC2018BTC2018
    See AHA CC 1Q 2016 pg 15 (and pg 14): the coagulopathy would need to be documented and follow the AHA CC advice (D68-, T39-, post op bleed code).
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