Monday, May 2, 2011

Easy bruising with no identifiable cause? Report 782.7

If you are wondering what the ICD-9 code for easy bruising is, read on and find out for yourself.

What's easy bruising?

Easy bruising is a symptom of another condition rather than a standalone diagnosis. As such, the ICD-9 code depends on whether or not the family physician identified a cause. If you identify the cause, then code for the specific disease. But again if no cause is pinpointed, then report for the symptoms.

How to report easy bruising?

For easy bruising with no identifiable cause, report 782.7 (Spontaneous ecchymoses). An individual may be ailing from other diseases that predispose him to develop bruises even with minimal trauma (say for instance a light rap on the hands), which normally will not happen to normal people, thus resulting in "easy bruising." Diseases that could result in this include platelet or coagulation disorders (thrombocytopenias), bone marrow disorders, hemophilias, liver diseases, and Marfan's syndrome. Aging and medications (for instance aspirin, prednisone, and other nonsteroidal anti-inflammatory drugs) can also lead to easy bruising. For patients suffering from these conditions, bruises seem to appear spontaneously without any identifiable reason.

What is ecchymosis, purpura and petechiae?

An ecchymosis is a bruise larger than 1 cm. A bruise less than 1cm but not less than 3 mm is said to be a purpura. A bruise less than 3 mm is a petechiae. Code 782.7 applies also to petechia but not purpura, which has various other codes (287.0-287.9) depending on the etiology.

Bruises from trauma can take place owing to a variety of reasons, including falls, accidents and post-surgeries. Normally, report codes 920-924 for bruises secondary to trauma. Say for instance a soccer player who was seen by a family pactice coding for bruises in the heel, report 924.20. Remember that as per ICD-9, these codes exclude contusions that are incidental to specific categories of injuries, like crushing injury, dislocation, fracture, internal injury, intracranial injury, nerve injury, and open wound.