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ICD-10 Coding for Von Willebrand Disease(D68.01, D68.02A)

Complete ICD-10-CM coding and documentation guide for Von Willebrand Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

VWDVon Willebrand's Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Von Willebrand Disease

D68.0-D68.09Primary Range

Coagulation defects

This range includes specific codes for different types of Von Willebrand Disease.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
D68.01Von Willebrand disease, type 1Use for patients diagnosed with Type 1 VWD confirmed by lab tests.
  • VWF:Ag 30-50 IU/dL
  • Normal VWF function
D68.02AVon Willebrand disease, type 2AUse for patients with Type 2A VWD confirmed by lab tests.
  • Ristocetin cofactor (VWF:RCo)/Ag ratio <0.7
  • Multimer analysis showing loss of HMW multimers

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 Type 1 Von Willebrand Disease

Essential facts and insights about Von Willebrand Disease

The ICD-10 code for Type 1 Von Willebrand Disease is D68.01, requiring VWF:Ag levels between 30-50 IU/dL.

Primary ICD-10-CM Codes for vermont-oxford network willebrand

Von Willebrand disease, type 1
Billable Code

Decision Criteria

clinical Criteria

  • VWF:Ag levels between 30-50 IU/dL

Applicable To

  • Type 1 VWD

Excludes

  • Other types of VWD

Clinical Validation Requirements

  • VWF:Ag 30-50 IU/dL
  • Normal VWF function

Code-Specific Risks

  • Misclassification if VWF:Ag >50 IU/dL

Coding Notes

  • Ensure lab results support the diagnosis.

Ancillary Codes

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

Long-term anticoagulant use

Z79.01
Use when bleeding occurs on anticoagulants.

Iron deficiency anemia

D50.9
Use for chronic blood loss.

Differential Codes

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

Von Willebrand disease, type 2A

D68.02A
Loss of high-molecular-weight multimers

Von Willebrand disease, type 1

D68.01
Quantitative deficiency without multimer loss

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Von Willebrand Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D68.01.

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Use specific terminology, Include lab results

Impact

Reimbursement: May lead to denials or reduced payments., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Always use the most specific code available for the VWD type.

Impact

Risk of audits due to use of unspecified codes.

Mitigation Strategy

Ensure documentation supports specific VWD subtype 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 Von Willebrand Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Von Willebrand Disease

Use these documentation templates to ensure complete and accurate documentation for Von Willebrand Disease. These templates include all required elements for proper coding and billing.

Hematology Consultation

Specialty: Hematology

Required Elements

  • Patient history
  • Lab results
  • Genetic testing

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has VWD.
Good Documentation Example
Patient diagnosed with Type 2A VWD confirmed by VWF:RCo/Ag ratio <0.7 and multimer analysis.
Explanation
The good example specifies the type and supporting lab results.

Need help with ICD-10 coding for Von Willebrand Disease? Ask your questions below.

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