Coagulation defects, purpura and other hemorrhagic conditions
ICD-10 Codes (49)
D66D67D68D68.0D68.00D68.01D68.02D68.020D68.021D68.022D68.023D68.029D68.03D68.04D68.09D68.1D68.2D68.3D68.31D68.311D68.312D68.318D68.32D68.4D68.5D68.51D68.52D68.59D68.6D68.61D68.62D68.69D68.8D68.9D69D69.0D69.1D69.2D69.3D69.4D69.41D69.42D69.49D69.5D69.51D69.59D69.6D69.8D69.9Updates & Changes
FY 2026 Updates
Deleted Codes
No codes deleted in this range for FY 2026
No significant changes for FY 2026
This range maintains stability with current coding practices
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for D65-D69 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The D65-D69 range in the ICD-10 covers coagulation defects, purpura, and other hemorrhagic conditions. These codes are used to document various bleeding and clotting disorders, including hemophilia, von Willebrand's disease, and thrombocytopenia. The codes in this range are essential for accurate medical billing and statistics, and help in the tracking and treatment of these conditions.
Key Usage Points:
- •D65-D69 codes are used for conditions related to coagulation defects and purpura.
- •These codes cover both congenital and acquired conditions.
- •The codes include specific subcategories for different types of hemophilia.
- •Thrombocytopenia and other platelet disorders are also covered in this range.
- •Always use specific codes when available to accurately represent the patient's condition.
Coding Guidelines
When to Use:
- ✓When a patient is diagnosed with a coagulation defect.
- ✓If a patient has a type of purpura or other hemorrhagic condition.
- ✓In case of congenital coagulation defects.
- ✓When a patient is diagnosed with thrombocytopenia.
- ✓For acquired coagulation defects.
When NOT to Use:
- ✗For conditions not specifically related to coagulation defects or purpura.
- ✗When a more specific code is available.
- ✗If the patient's condition is not confirmed.
- ✗For conditions related to blood disorders not covered in this range.
- ✗When the condition is a symptom of another, primary condition.
Code Exclusions
Always verify exclusions before assigning a code to ensure accuracy.
Documentation Requirements
Proper documentation for the D65-D69 range requires detailed clinical information and supporting evidence. This includes the specific type of coagulation defect or purpura, the severity of the condition, and any related complications.
Clinical Information:
- •Specific type of coagulation defect or purpura.
- •Severity of the condition.
- •Presence of any complications.
- •Whether the condition is congenital or acquired.
- •Any related conditions or symptoms.
Supporting Evidence:
- •Lab results confirming the diagnosis.
- •Clinical notes detailing the patient's condition.
- •Imaging results, if applicable.
- •Notes on any treatments or interventions.
Good Documentation Example:
Patient diagnosed with severe hemophilia A. Lab results confirm low clotting factor VIII levels. Patient has a history of frequent bleeding episodes.
Poor Documentation Example:
Patient has a bleeding disorder.
Common Documentation Errors:
- âš Not specifying the type of coagulation defect or purpura.
- âš Failing to document the severity of the condition.
- âš Not including supporting evidence such as lab results.
- âš Not documenting any related conditions or symptoms.
Range Statistics
Coding Complexity
The D65-D69 range has a medium complexity rating due to the need to understand various types of coagulation defects and purpura, assess their severity, and identify any related conditions or complications. Proper interpretation of supporting evidence is also crucial.
Key Factors:
- â–¸Understanding the different types of coagulation defects and purpura.
- â–¸Identifying the severity of the condition.
- â–¸Recognizing related conditions and complications.
- â–¸Determining whether the condition is congenital or acquired.
- â–¸Correctly interpreting supporting evidence such as lab results.
Specialty Focus
The D65-D69 range is primarily used by hematologists and general practitioners. These specialists often encounter patients with coagulation defects and purpura.
Primary Specialties:
Clinical Scenarios:
- • A patient with a history of frequent nosebleeds is diagnosed with von Willebrand's disease.
- • A patient with a family history of hemophilia presents with unexplained bruising and is diagnosed with hemophilia B.
- • A patient with a low platelet count is diagnosed with thrombocytopenia.
- • A patient with a clotting disorder is diagnosed with an acquired coagulation defect due to liver disease.
Resources & References
There are several resources available for understanding and correctly using the D65-D69 range. These include the official ICD-10 guidelines, clinical reference sources, and educational materials.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- National Center for Health Statistics (NCHS)
- World Health Organization (WHO)
Clinical References:
- American Society of Hematology
- National Hemophilia Foundation
Educational Materials:
- ICD-10-CM Coding Handbook
- Medical Coding Training: ICD-10-CM
Frequently Asked Questions
Can I use a D65-D69 code for a patient with a bleeding disorder due to anticoagulant use?
No, conditions due to anticoagulant use have their own specific code (T45.5) and are excluded from the D65-D69 range.