Home Health ICD-9/ICD-10 Alert

Published on Thu Jan 21, 2010 PDF

Question: What is the ICD-9 code for "easy bruising"?

Answer: Easy bruising is not a diagnosis, but rather a symptom. Therefore, the ICD-9 code depends on whether you can identify what's causing the bruising. If a cause is identified, then code for the specific disease. If, however, no cause is pinpointed, then code for the symptoms.

For easy bruising with no identifiable cause, report 782.7 (Spontaneous ecchymoses). An individual may be suffering from other diseases that predispose him to develop bruises even with minimal trauma (such as a light rap on the hands), which otherwise will not happen to people with normal coagulation, hence resulting in "easy bruising." Diseases that could result in this include platelet or coagulation disorders (thrombocytopenias), bone marrow disorders, hemophilias, liver diseases, and Marfan's syndrome.

Aging and medications (for example, aspirin, prednisone, and other nonsteroidal anti-inflammatory drugs) can also cause easy bruising. For patients suffering from these conditions, bruises seem to spontaneously appear without any identifiable reason.

An ecchymosis is a bruise larger than 1 centimeter. A bruise less than 1 centimeter but not less than 3 millimeters is called a purpura. A bruise less than 3 millimeters is called a petechiae. Code 782.7 applies also to petechia but not purpura, which has several other codes (287.0-287.9) depending on the etiology.

Bruises resulting from trauma can occur due to a variety of reasons, including falls, accidents, and postsurgeries.

In general, use codes 920-924 for bruises secondary to trauma. Note that, per ICD-9, these codes exclude contusions that are incidental to specific categories of injuries, such as crushing injury (925-929.9), dislocation (830.0-839.9), fracture (800.0-829.1), internal injury (860.0-869.1), intracranial injury (850.0- 854.1), nerve injury (950.0-957.9), and open wound (870.0-897.7).