ICD-10 Coding for Factor V Leiden Deficiency(D68.51, D68.59)
Complete ICD-10-CM coding and documentation guide for Factor V Leiden 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 Leiden Deficiency
D68.5-D68.69Primary Range
Other Coagulation Defects
This range includes codes for various coagulation disorders, including Factor V Leiden.
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 Factor V Leiden mutation is confirmed by lab tests. |
|
| D68.59 | Other primary thrombophilia | Use when hereditary thrombophilia is suspected but not confirmed as Factor V Leiden. |
|
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 deficiency
Essential facts and insights about Factor V Leiden Deficiency
Primary ICD-10-CM Codes for factor vomiting leiden deficiency
Decision Criteria
clinical Criteria
- Confirmed Factor V Leiden mutation via PCR
documentation Criteria
- APC resistance assay results
Applicable To
- Factor V Leiden mutation
Excludes
- Antiphospholipid syndrome (D68.62)
Clinical Validation Requirements
- Positive DNA test (PCR) for Factor V Leiden
- APC resistance assay showing resistance
Code-Specific Risks
- Misclassification if not confirmed by lab tests
Coding Notes
- Ensure documentation specifies the type of mutation and method of confirmation.
D68.59 - Other primary thrombophilia
Use when hereditary thrombophilia is suspected but not confirmed as Factor V Leiden.
Applicable To
- Hereditary thrombophilia
Excludes
- Antiphospholipid syndrome (D68.62)
Clinical Validation Requirements
- Family history of thrombophilia
- Absence of specific APC resistance confirmation
Coding Notes
Use when genetic testing is unavailable or inconclusive.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Family history of thrombophilia
Z84.81Differential 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 Leiden Deficiency 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 plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or audits.
Mitigation Strategy
Ensure detailed documentation of genetic testing results, Specify type of thrombophilia
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Ensure lab confirmation of Factor V Leiden before using D68.51.
Impact
Using incorrect codes for confirmed genetic mutations.
Mitigation Strategy
Regular training on genetic testing documentation and 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 Factor V Leiden Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Factor V Leiden Deficiency
Use these documentation templates to ensure complete and accurate documentation for Factor V Leiden Deficiency. These templates include all required elements for proper coding and billing.
Hematology Consult for Factor V Leiden
Specialty: HematologyRequired Elements
- Chief Complaint
- History of Present Illness
- Family History
- Lab Results
- Assessment and Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Factor V Leiden Deficiency? Ask your questions below.