AHA Coding Clinic® for ICD-9 - 2004 Issue 3; Ask the Editor

Epistaxis Secondary to Coumadin Therapy

An 89-year-old male with a history of congestive heart failure and atrial fibrillation on Coumadin therapy was admitted for treatment of severe epistaxis. The physician was queried regarding the etiology of the bleeding and he documented, “Epistaxis secondary to Coumadin therapy.” Would a code from category 286, Coagulation defects be appropriate? If not, how should this be coded? ...

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