D69.1 Qualitative platelet defects

ICD10CM code

#### Name of the Condition
- **Qualitative Platelet Defects**
- Also known as platelet function disorders or platelet dysfunction.

#### Summary
Qualitative platelet defects are disorders where platelets, crucial components of blood clotting, do not function correctly. This can lead to excessive bleeding or bruising even with minor injuries, impacting the body's ability to form clots effectively.

#### Causes
- Genetic mutations affecting platelet function.
- Acquired conditions such as kidney disease or certain medications (e.g., aspirin, NSAIDs).
- Other diseases like leukemia that affect bone marrow function.

#### Risk Factors
- Family history of bleeding disorders.
- Use of certain medications that affect platelet function.
- Co-existing medical conditions, like uremia or myeloproliferative disorders.

#### Symptoms
- Easy bruising.
- Frequent nosebleeds.
- Heavy menstrual periods.
- Excessive bleeding following surgery or dental procedures.

#### Diagnosis
- Complete blood count (CBC) to assess platelet count.
- Platelet function tests such as platelet aggregation studies.
- Genetic testing in cases of suspected hereditary conditions.

#### Treatment Options
- Use of antifibrinolytic agents to help prevent breakdown of clots.
- Desmopressin (DDAVP) to increase levels of clot-promoting substances temporarily.
- Platelet transfusions in severe cases.
- Avoidance of medications that inhibit platelet function.

#### Prognosis and Follow-Up
- The prognosis varies depending on the severity and underlying cause.
- Regular monitoring is crucial to manage symptoms and avert complications.
- Lifelong follow-up may be necessary for hereditary conditions.

#### Complications
- Severe bleeding episodes.
- Joint bleeding leading to arthritis-like symptoms.
- Risk of significant bleeding during surgeries or childbirth.

#### Lifestyle & Prevention
- Avoidance of medications known to affect platelets.
- Use of protective gear in activities that risk injury.
- Maintaining a healthy lifestyle to enhance overall well-being.

#### When to Seek Professional Help
- Sudden, unexplained bleeding or bruising.
- Signs of bleeding in urine or stool (black or red stools).
- Persistent bleeding from gums or nose.

#### Additional Resources
- [National Hemophilia Foundation](https://www.hemophilia.org/)
- [World Federation of Hemophilia](https://www.wfh.org/)
- Support groups for individuals with bleeding disorders.

#### Tips for Medical Coders
- Ensure accuracy by confirming the diagnosis through specific tests.
- Avoid confusing quantitative platelet disorders (like thrombocytopenia) with qualitative defects.
- Cross-reference with any related conditions for correct coding.

Medical Policies and Guidelines for Qualitative platelet defects

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