Other coagulation defects
In Coagulation defects, purpura and other hemorrhagic conditions (D65-D69), chapter 3: Diseases of the Blood and Blood-Forming Organs
25 billable codes under D68: all are a CC; 13 map to HCC 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
- abnormal coagulation profile NOS (R79.1)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
There are no chapter-specific rules for Chapter 3 yet, so the general rules in Section I.B apply.
All codes under D68
D68 can't be used on a claim. Pick a billable code below; grey headings group them.
- D68.0Von Willebrand disease
- D68.00Von Willebrand disease, unspecified
- D68.01Von Willebrand disease, type 1
- D68.02Von Willebrand disease, type 2
- D68.020Von Willebrand disease, type 2A
- D68.021Von Willebrand disease, type 2B
- D68.022Von Willebrand disease, type 2M
- D68.023Von Willebrand disease, type 2N
- D68.029Von Willebrand disease, type 2, unspecified
- D68.03Von Willebrand disease, type 3
- D68.04Acquired von Willebrand disease
- D68.09Other von Willebrand disease
- D68.1Hereditary factor XI deficiency
- D68.2Hereditary deficiency of other clotting factors
- D68.3Hemorrhagic disorder due to circulating anticoagulants
- D68.31Hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors
- D68.311Acquired hemophilia
- D68.312Antiphospholipid antibody with hemorrhagic disorder
- D68.318Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors
- D68.32Hemorrhagic disorder due to extrinsic circulating anticoagulants
- D68.4Acquired coagulation factor deficiency
- D68.5Primary thrombophilia
- D68.51Activated protein C resistance
- D68.52Prothrombin gene mutation
- D68.59Other primary thrombophilia
- D68.6Other thrombophilia
- D68.61Antiphospholipid syndrome
- D68.62Lupus anticoagulant syndrome
- D68.69Other thrombophilia
- D68.8Other specified coagulation defects
- D68.9Coagulation defect, unspecified
D68 MS-DRGs
As the principal diagnosis, the billable codes under D68 group to MS-DRG 813, 814, 815, or 816 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 813 Coagulation Disorders (18 of 25 codes)
- DRG 814 Reticuloendothelial and Immunity Disorders with MCC (7 of 25 codes)
- DRG 815 Reticuloendothelial and Immunity Disorders with CC (7 of 25 codes)
- DRG 816 Reticuloendothelial and Immunity Disorders without CC/MCC (7 of 25 codes)
Other codes that refer to D68
Notes on these codes point to D68.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Bleeding Disorders
Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should.
Read more about bleeding disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.