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ICD-10 Coding for Blood Coagulation Disorder(D66, D68.311, D68.32)

Complete ICD-10-CM coding and documentation guide for Blood Coagulation Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CoagulopathyBleeding DisorderHemorrhagic Disorder

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Related ICD-10 Code Ranges

Complete code families applicable to Blood Coagulation Disorder

D66-D68Primary Range

Coagulation defects

This range includes all primary codes for hereditary and acquired coagulation disorders.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
D66Hereditary factor VIII deficiencyUse when there is a confirmed hereditary deficiency of factor VIII.
  • Factor VIII level <40%
  • Family history of bleeding disorders
D68.311Acquired hemophiliaUse when there is an acquired inhibitor against factor VIII.
  • Prolonged aPTT not corrected by mixing studies
  • Presence of factor VIII inhibitor
D68.32Hemorrhagic disorder due to extrinsic circulating anticoagulantsUse when bleeding is directly attributed to anticoagulant use.
  • Documented use of anticoagulants
  • Clinical evidence of bleeding

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 coagulation disorder

Essential facts and insights about Blood Coagulation Disorder

The ICD-10 code for blood coagulation disorder includes D66 for hereditary factor VIII deficiency and D68.32 for anticoagulant-related bleeding.

Primary ICD-10-CM Codes for blood coagulation disorder

D66
Hereditary factor VIII deficiency
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed low factor VIII levels with bleeding history

Applicable To

  • Hemophilia A

Excludes

Clinical Validation Requirements

  • Factor VIII level <40%
  • Family history of bleeding disorders

Code-Specific Risks

  • Misclassification if not confirmed by genetic testing

Coding Notes

  • Ensure genetic confirmation for hereditary conditions.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Long-term (current) use of anticoagulants

Z79.01
Use to indicate ongoing anticoagulant therapy.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Acquired hemophilia

D68.311
Acquired hemophilia is characterized by the presence of factor VIII inhibitors, not hereditary deficiency.

Hereditary factor VIII deficiency

D66
Hereditary hemophilia is due to genetic deficiency, not inhibitor presence.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Blood Coagulation Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D66.

Impact

Clinical: Inaccurate clinical records, Regulatory: Potential audit issues, Financial: Denied claims or reduced reimbursement

Mitigation Strategy

Always document anticoagulant therapy details, Include lab results supporting bleeding

Impact

Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased data quality and clinical utility.

Mitigation Strategy

Ensure specific diagnosis and documentation to use more precise codes.

Impact

Incomplete documentation of anticoagulant use and bleeding events

Mitigation Strategy

Implement standardized documentation templates

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 Coagulation Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Blood Coagulation Disorder

Use these documentation templates to ensure complete and accurate documentation for Blood Coagulation Disorder. These templates include all required elements for proper coding and billing.

Patient with bleeding due to anticoagulant therapy

Specialty: Hematology

Required Elements

  • Patient history
  • Anticoagulant details
  • Bleeding site and severity
  • Lab results

Example Documentation

Patient presents with GI bleed attributed to warfarin therapy, INR 4.5. Plan: Hold warfarin, administer vitamin K.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has bleeding.
Good Documentation Example
Patient has GI bleed due to warfarin therapy, INR 4.5.
Explanation
The good example specifies the cause and context of the bleeding.

Need help with ICD-10 coding for Blood Coagulation Disorder? Ask your questions below.

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