D65

HCC Category Mapping

What This Code Means

A serious condition where blood clots form throughout the body while simultaneously bleeding occurs due to consumption of clotting factors.

Coding Tips

• •Always identify and code the underlying cause (sepsis, trauma, malignancy, etc.)
• •This is often an acute, life-threatening condition requiring immediate intervention

Clinical Significance

Disseminated intravascular coagulation is a life-threatening condition involving systemic activation of the coagulation cascade, leading to simultaneous widespread thrombosis and hemorrhage. It is always secondary to an underlying trigger such as sepsis, malignancy, trauma, or obstetric complications. Prompt identification and treatment of the underlying cause is critical, as DIC carries significant mortality.

Documentation Requirements

• ✓Document the underlying etiology triggering the DIC (sepsis, malignancy, trauma, obstetric emergency).
• ✓Record laboratory findings including platelet count, fibrinogen level, D-dimer, PT/INR, PTT, and fibrin degradation products.
• ✓Note whether the presentation is acute (hemorrhagic) or chronic (thrombotic), along with any end-organ damage.

Commonly Confused Codes