Find comprehensive information on Henoch-Schonlein Purpura HSP including clinical documentation tips, ICD-10 codes D69.0, medical coding guidelines, diagnostic criteria, and treatment protocols. Learn about HSP vasculitis, purpuric rash, abdominal pain, IgA nephropathy, and joint pain symptoms for accurate healthcare documentation and coding. This resource provides essential information for physicians, nurses, medical coders, and other healthcare professionals managing patients with Henoch-Schonlein Purpura.
Also known as
Henoch-Schonlein purpura
Allergic purpura characterized by skin rash, joint pain, and abdominal symptoms.
Polyarteritis nodosa
Systemic vasculitis affecting small and medium arteries, sometimes overlapping with HSP.
Diseases of the skin and subcutaneous tissue
Includes skin manifestations related to HSP, like palpable purpura.
Noninfective enteritis and colitis
Covers gastrointestinal complications that can occur with HSP, such as abdominal pain and bleeding.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diagnosis Henoch-Schonlein Purpura?
Yes
Is there kidney involvement?
No
Do not code as Henoch-Schonlein Purpura. Review clinical documentation for alternative diagnosis.
When to use each related code
| Description |
|---|
| Palpable purpura, arthritis, GI, renal |
| IgA vasculitis without kidney involvement |
| Immune thrombocytopenia (ITP) |
Using D69.0 (HSP, unspecified) when a more specific code like D69.1 (HSP with nephritis) is clinically supported, leading to inaccurate severity reflection and reimbursement.
Failing to code associated gastrointestinal complications, such as K55.0 (intestinal intussusception) or K55.9 (other vascular disorders of intestine), along with the primary HSP diagnosis.
Lack of clear documentation of the characteristic purpuric rash in the medical record, impacting accurate HSP diagnosis coding and potentially triggering denials for claims based solely on symptoms.
Patient presents with a chief complaint of palpable purpura, predominantly affecting the lower extremities. The rash is described as non-blanching and erythematous, with some lesions exhibiting a slightly raised or palpable quality. The patient also reports arthralgia, specifically involving the ankles and knees, with associated joint pain and stiffness. Abdominal pain is also noted, characterized as colicky and diffuse, with no reported nausea or vomiting. Review of systems is otherwise unremarkable. The patient denies any recent illnesses, fever, or known allergies. Physical exam reveals palpable purpura distributed symmetrically over the buttocks, thighs, and lower legs. Mild edema is noted around the affected joints. Abdominal examination is benign with no tenderness or guarding. Based on the presenting symptoms and physical exam findings, a diagnosis of Henoch-Schonlein Purpura (HSP) is suspected. Differential diagnoses considered include idiopathic thrombocytopenic purpura, IgA vasculitis, and other vasculitides. Laboratory tests, including a complete blood count (CBC) with differential, urinalysis, coagulation studies, and a basic metabolic panel (BMP), have been ordered to evaluate for renal involvement and other potential complications. Management plan includes supportive care with close monitoring for renal and gastrointestinal complications. Patient education regarding the course of the disease and potential complications has been provided. Follow-up appointment scheduled in one week to reassess symptoms and review laboratory results. ICD-10 code D69.0 is recorded for Henoch-Schonlein Purpura.