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When should “hemorrhagic disorder due to intrinsic circulating anticoagulants” be coded? Does this occur when a...

When should “hemorrhagic disorder due to intrinsic circulating anticoagulants” be coded? Does this occur when a patient is on warfarin (Coumadin) therapy? What is the correct code for “hemorrhagic disorder due to intrinsic circulating anticoagulants”. Must be at least 250 words

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Answer #1

Hemorrhagic disorder due to intrinsic circulating anticoagulants : -

It is bleeding disorders due to presence of intrinsic anticoagulants ( anti coagulants formed in the body) in the blood. Intrinsic coagulants comprises of Antithromboplastin, antithrombin, anti-VIIIa, anti-IXa, anti-XIa, etc. If increase in any of these intrinsic anticoagulants is present , then it is termed as Hemorrhagic disorder due to intrinsic circulating anticoagulants and coded for same.

If a patient is on warfarin (Coumadin) therapy, the patient is not coded under “hemorrhagic disorder due to intrinsic circulating anticoagulants" because warfarin is an anticoagulant drug which is given from outside. The code used for it is Z79.01 (used for long term use of anticoagulants).

The correct code used for “hemorrhagic disorder due to intrinsic circulating anticoagulants” is DB68.318.

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