ICD-10 Coding for Factor V Deficiency(D68.2, D68.69)
Complete ICD-10-CM coding and documentation guide for Factor V Deficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Factor V Deficiency
D65-D69Primary Range
Coagulation defects, purpura and other hemorrhagic conditions
This range includes codes for various coagulation disorders, including Factor V deficiency.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D68.2 | Hereditary deficiency of other clotting factors | Use for congenital Factor V deficiency confirmed by genetic testing and low activity levels. |
|
| D68.69 | Other specified coagulation defects | Use for acquired Factor V deficiency with identified inhibitors. |
|
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 deficiency
Essential facts and insights about Factor V Deficiency
Primary ICD-10-CM Codes for factor 5 deficiency
Decision Criteria
clinical Criteria
- Presence of genetic confirmation and low Factor V activity
documentation Criteria
- Detailed history of bleeding and lab results
Applicable To
- Congenital Factor V deficiency
Excludes
- Factor V Leiden mutation (D68.51)
Clinical Validation Requirements
- Genetic confirmation of F5 mutation
- Factor V activity level <20%
- History of bleeding episodes
Code-Specific Risks
- Confusion with Factor V Leiden, which is a thrombophilia.
Coding Notes
- Ensure documentation specifies congenital nature and includes genetic testing results.
D68.69 - Other specified coagulation defects
Use for acquired Factor V deficiency with identified inhibitors.
Applicable To
- Acquired Factor V deficiency
Clinical Validation Requirements
- Identification of Factor V inhibitors
- Recent surgery or antibiotic use
Coding Notes
Document any inhibitors and their titers clearly.
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 Factor V Deficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D68.2.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials and financial loss.
Mitigation Strategy
Ensure detailed documentation of genetic testing and activity levels., Use specific ICD-10 codes based on clinical evidence.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of patient records and data analytics.
Mitigation Strategy
Ensure genetic testing and clinical presentation are documented to differentiate.
Impact
Using D68.59 for bleeding disorders instead of D68.2.
Mitigation Strategy
Regular training on code differentiation and documentation requirements.
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 Factor V Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Factor V Deficiency
Use these documentation templates to ensure complete and accurate documentation for Factor V Deficiency. These templates include all required elements for proper coding and billing.
Congenital Factor V Deficiency Diagnosis
Specialty: HematologyRequired Elements
- Patient history of bleeding
- Genetic testing results
- Factor V activity levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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