Wiki Exam: Ecchymosis

[Ashley Ryall]

Under what exam system (95 guidelines) is ecchymosis under, hematologic or integumentary? In the 2012 APPC Medical Coding Training: CPC book it lists ecchymosis under the Integumentary system. We have differences though because some think hematologic since it is a bruise. When you look in the book it makes hematologic sound like actual exam of blood cells and plasma. From what I have read I am getting the idea that ecchymosis is viewing the skin discoloration from the blood seeping into the skin.

 

[a.montaruli@gmail.com]

This would go under Hemat since technically it is a ruptured blood vessel causing discoloration. Example of Hematologic elements include bruising, and unusual bleeding. For the integumentary system you are looking more for rashes and sores. Hope this helps.

Andrew