ICD-10 Coding for Blood Clotting Disorders(D68.5, D68.32)
Complete ICD-10-CM coding and documentation guide for Blood Clotting Disorders. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Blood Clotting Disorders
D65-D69Primary Range
Coagulation defects, purpura and other hemorrhagic conditions
This range includes primary codes for various blood clotting disorders, including thrombophilia and bleeding disorders.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D68.5 | Primary thrombophilia | Use for confirmed genetic thrombophilia conditions. |
|
| D68.32 | Hemorrhagic disorder due to extrinsic circulating anticoagulants | Use when bleeding is due to anticoagulant therapy. |
|
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 blood clotting disorders
Essential facts and insights about Blood Clotting Disorders
Primary ICD-10-CM Codes for blood clotting
Decision Criteria
clinical Criteria
- Genetic test confirming thrombophilia
Applicable To
- Factor V Leiden
- Prothrombin mutation
Excludes
- Antiphospholipid syndrome (D68.62)
Clinical Validation Requirements
- Genetic testing confirming Factor V Leiden mutation
- Prothrombin G20210A mutation
Code-Specific Risks
- Misclassification without genetic confirmation
Coding Notes
- Ensure genetic confirmation is documented.
D68.32 - Hemorrhagic disorder due to extrinsic circulating anticoagulants
Use when bleeding is due to anticoagulant therapy.
Applicable To
- Warfarin-induced bleeding
Excludes
- Bleeding due to intrinsic factor deficiencies
Clinical Validation Requirements
- Elevated INR with bleeding symptoms
Coding Notes
Document the specific anticoagulant and bleeding site.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Blood Clotting Disorders to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D68.5.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Claim denials
Mitigation Strategy
Verify genetic test results are included in records, Regular audits of documentation
Impact
Reimbursement: Potential denial of claims, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Ensure documentation includes a confirmed diagnosis by a physician.
Impact
High risk of audit if genetic confirmation is not documented.
Mitigation Strategy
Ensure all diagnoses are supported by genetic test results.
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 Blood Clotting Disorders, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Blood Clotting Disorders
Use these documentation templates to ensure complete and accurate documentation for Blood Clotting Disorders. These templates include all required elements for proper coding and billing.
Patient with confirmed thrombophilia
Specialty: HematologyRequired Elements
- Genetic test results
- Family history
- Current treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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