2025 ICD-10-CM code D65
Disseminated intravascular coagulation (DIC), also known as consumption coagulopathy or defibrination syndrome.
Modifiers may be applicable to reflect the circumstances of the encounter.Consult your payer's guidelines for appropriate modifier usage.
Medical necessity for treatment of DIC is established by the presence of symptoms and laboratory evidence consistent with the diagnosis.Treatment is necessary to prevent organ damage, life-threatening bleeding, or death.The underlying cause of DIC should also be addressed to improve outcomes. Specific payer policies should be consulted for further details on medical necessity criteria.
Diagnosis and management of DIC requires a multidisciplinary approach involving hematologists, intensivists, and other specialists depending on the underlying cause and severity. The clinical responsibility includes history taking, physical examination, ordering and interpreting laboratory tests, determining the severity of DIC, and initiating appropriate treatment strategies, including supportive care such as blood transfusions and oxygen therapy, as well as addressing the underlying cause. For example, if the cause is sepsis, then aggressive antibiotic treatment becomes a crucial part of clinical responsibility. If the underlying cause is malignancy, oncologic intervention may be necessary. In cases of obstetric complications, obstetric management becomes paramount.
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- D65-D69
In simple words: DIC is a serious blood disorder where small blood clots form throughout the body, using up the body's clotting factors. This can lead to both excessive bleeding and clotting.It's often caused by infections, cancer, or pregnancy complications and may need urgent medical treatment.
Disseminated intravascular coagulation (DIC) is a life-threatening condition characterized by widespread activation of blood clotting within the blood vessels. This leads to the formation of numerous small blood clots, which consume clotting factors and platelets, resulting in both thrombosis (clotting) and bleeding.DIC can be acute or chronic, with symptoms varying in severity.Causes include sepsis, cancer, obstetric complications, trauma, and certain snakebites. Diagnosis involves clinical evaluation, blood tests (CBC, PT/PTT, fibrinogen levels, D-dimer), and assessment of the underlying condition. Treatment focuses on managing the underlying cause and supporting the patient's hemodynamic status, potentially involving blood transfusions, anticoagulation, or other supportive measures.
Example 1: A 70-year-old woman with metastatic pancreatic cancer presents with sudden-onset shortness of breath and petechiae. Laboratory tests reveal thrombocytopenia, prolonged PT/PTT, and elevated D-dimer. Diagnosis: DIC secondary to malignancy. Treatment involves supportive care, including blood transfusions and anticoagulation, along with oncology consultation for cancer treatment., A 30-year-old pregnant woman in her third trimester develops severe abdominal pain and vaginal bleeding.She has signs of DIC, including microangiopathic hemolytic anemia, thrombocytopenia, and prolonged PT/PTT. Treatment involves immediate obstetric management (possibly delivery) and aggressive management of DIC with supportive care and potential blood products., A 25-year-old male sustains severe trauma following a motor vehicle accident.He develops DIC due to extensive tissue damage. Initial treatment focuses on stabilizing the patient's hemodynamic status through fluid resuscitation, blood transfusions, and treatment for shock. Addressing the underlying cause of the trauma and aggressive support for multiple organ systems failure is critical.
Complete blood count (CBC), prothrombin time (PT), partial thromboplastin time (PTT), fibrinogen levels, D-dimer, blood smear, documentation of underlying conditions (sepsis, cancer, pregnancy complications, trauma), treatment provided (blood transfusions, medications, supportive care), patient response to treatment.Detailed notes of the clinical presentation, investigation findings, diagnosis, treatment plans, and patient response.If there is an underlying condition leading to DIC, that must be thoroughly documented.
** DIC is a complex condition, and appropriate treatment requires a comprehensive understanding of its pathophysiology and underlying causes. Always review the latest guidelines and payer policies for the most accurate coding and billing practices.The severity of DIC varies. Some patients present with mild symptoms while others experience life-threatening complications.
- Payment Status: Active
- Specialties:Hematology, Oncology, Obstetrics/Gynecology, Critical Care, Trauma Surgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Intensive Care Unit (ICU), Outpatient Hospital, Skilled Nursing Facility