ICD-10 Coding for Bleeding Disorder(D66, D68.0)
Complete ICD-10-CM coding and documentation guide for Bleeding Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bleeding Disorder
D66-D68Primary Range
Coagulation Defects
This range includes codes for various bleeding disorders such as hemophilia and von Willebrand disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D66 | Hereditary factor VIII deficiency | Use when hereditary factor VIII deficiency is confirmed by lab tests. |
|
| D68.0 | Von Willebrand's disease | Use when von Willebrand's disease is confirmed by specific antigen and cofactor levels. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hemophilia
Essential facts and insights about Bleeding Disorder
Primary ICD-10-CM Codes for bleeding disorder
Decision Criteria
clinical Criteria
- Factor VIII activity <40% with normal vWF levels.
Applicable To
- Hemophilia A
Excludes
- Acquired hemophilia (D68.311)
Clinical Validation Requirements
- Factor VIII activity <40%
- Normal vWF levels
Code-Specific Risks
- Incorrectly coding acquired hemophilia as hereditary.
Coding Notes
- Ensure genetic testing or factor assay documentation is available.
D68.0 - Von Willebrand's disease
Use when von Willebrand's disease is confirmed by specific antigen and cofactor levels.
Applicable To
- Type 1 VWD
Excludes
- Qualitative platelet defects (D69.1)
Clinical Validation Requirements
- vWF antigen <50 IU/dL
- Ristocetin cofactor <30 IU/dL
Coding Notes
Ensure specific lab tests confirm diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bleeding Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D66.
Impact
Clinical: Misdiagnosis of platelet disorders., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Verify platelet function tests before coding.
Impact
Reimbursement: Incorrect DRG assignment may lead to underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use D68.311 + T45.515A for acquired cases.
Impact
Risk of coding hereditary hemophilia as acquired.
Mitigation Strategy
Require genetic testing documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bleeding Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bleeding Disorder
Use these documentation templates to ensure complete and accurate documentation for Bleeding Disorder. These templates include all required elements for proper coding and billing.
Hematology Consult for Bleeding Disorder
Specialty: HematologyRequired Elements
- Bleeding history
- Family history
- Lab results
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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