ICD-10 Coding for Clotting Disorder(D68.51, D68.59, D68.32)
Complete ICD-10-CM coding and documentation guide for Clotting Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Clotting Disorder
D68.0-D68.9Primary Range
Coagulation Defects
This range includes various coagulation defects such as Von Willebrand disease, hereditary factor deficiencies, and thrombophilia.
Embolism and Thrombosis
This range is relevant for coding active thrombosis, which often coexists with clotting disorders.
Long-term (current) drug therapy
This range includes codes for long-term anticoagulant use, which is common in patients with clotting 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 |
|---|---|---|---|
| D68.51 | Activated protein C resistance | Use when genetic testing confirms Factor V Leiden mutation. |
|
| D68.59 | Other primary thrombophilia | Use for inherited thrombophilias other than Factor V Leiden. |
|
| D68.32 | Hemorrhagic disorder due to extrinsic circulating anticoagulants | Use when bleeding is directly linked to anticoagulant use. |
|
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 Factor V Leiden
Essential facts and insights about Clotting Disorder
Primary ICD-10-CM Codes for clotting disorder
Decision Criteria
clinical Criteria
- Confirmed Factor V Leiden mutation via PCR
Applicable To
- Factor V Leiden
Excludes
- Antiphospholipid syndrome (D68.61)
Clinical Validation Requirements
- Factor V Leiden PCR positive
- APC resistance ratio <2.0
Code-Specific Risks
- Misdiagnosis without genetic confirmation
Coding Notes
- Ensure genetic confirmation is documented.
D68.59 - Other primary thrombophilia
Use for inherited thrombophilias other than Factor V Leiden.
Applicable To
- Prothrombin gene mutation
Excludes
- Factor V Leiden (D68.51)
Clinical Validation Requirements
- Genetic confirmation of thrombophilia
Coding Notes
Document specific genetic mutation.
D68.32 - Hemorrhagic disorder due to extrinsic circulating anticoagulants
Use when bleeding is directly linked to anticoagulant use.
Applicable To
- Bleeding due to anticoagulant therapy
Excludes
- Bleeding due to intrinsic factors
Clinical Validation Requirements
- Documented bleeding with therapeutic anticoagulant use
Coding Notes
Ensure linkage to anticoagulant therapy is documented.
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 Clotting Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D68.51.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Specify hereditary or acquired thrombophilia., Include genetic test results.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Code I82.411 first, then D68.59 only if thrombophilia is documented.
Impact
Reimbursement: May result in claim rejections., Compliance: Violation of coding standards., Data Quality: Misleading clinical data.
Mitigation Strategy
Use only if no definitive coagulopathy exists.
Impact
High risk of audit if thrombophilia is coded without documented genetic confirmation.
Mitigation Strategy
Require genetic test documentation before coding.
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 Clotting Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Clotting Disorder
Use these documentation templates to ensure complete and accurate documentation for Clotting Disorder. These templates include all required elements for proper coding and billing.
Hematology Progress Note
Specialty: HematologyRequired Elements
- Diagnosis
- Genetic Confirmation
- Current Anticoagulation
- Active Complications
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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