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v1.0.0
ICD-10 Guide
ICD-10 CodesD68.4

D68.4

Billable

Acquired coagulation factor deficiency

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D68.4 is a billable code used to indicate a diagnosis of acquired coagulation factor deficiency.

Key Diagnostic Point:

Acquired coagulation factor deficiency refers to a condition where the body does not produce enough of one or more clotting factors necessary for normal blood coagulation. This deficiency can arise from various causes, including liver disease, vitamin K deficiency, or the presence of inhibitors that neutralize clotting factors. Patients may present with symptoms such as easy bruising, prolonged bleeding from cuts, and spontaneous bleeding episodes. The condition can be associated with other bleeding disorders, including hemophilia and thrombocytopenia, where the platelet count is low. Diagnosis typically involves laboratory tests to assess clotting factor levels and the patient's bleeding history. Management may include replacement therapy with clotting factors, vitamin K supplementation, or treatment of the underlying cause. Understanding the nuances of acquired coagulation factor deficiencies is crucial for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to the deficiency
  • Need for precise laboratory results to confirm diagnosis
  • Potential overlap with other bleeding disorders
  • Documentation of clinical history and treatment response

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to specify the type of coagulation factor deficiency
  • Misclassification with hereditary conditions
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, lab results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with unexplained bleeding, bruising, or requiring surgical intervention.

Billing Considerations

Ensure that all relevant lab tests are included in the documentation to support the diagnosis.

Internal Medicine

Documentation Requirements

Comprehensive evaluation of the patient's medical history and any comorbid conditions.

Common Clinical Scenarios

Management of patients with liver disease or vitamin K deficiency leading to coagulation issues.

Billing Considerations

Document any medications that may affect coagulation, such as anticoagulants.

Coding Guidelines

Inclusion Criteria

Use D68.4 When
  • Follow official coding guidelines that emphasize the need for specificity in documenting the cause of the acquired deficiency
  • Ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use D68.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count with platelet count

Clinical Scenario

Used to evaluate patients with suspected bleeding disorders.

Documentation Requirements

Document the reason for the test and any relevant clinical findings.

Specialty Considerations

Hematology specialists should ensure that all relevant lab results are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acquired coagulation factor deficiencies, improving the accuracy of patient records and facilitating better management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acquired coagulation factor deficiencies, improving the accuracy of patient records and facilitating better management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of acquired coagulation factor deficiencies, improving the accuracy of patient records and facilitating better management of these conditions.

Resources

Clinical References

  • •
    American Society of Hematology

Coding & Billing References

  • •
    American Society of Hematology

Frequently Asked Questions

What are the common causes of acquired coagulation factor deficiency?

Common causes include liver disease, vitamin K deficiency, certain medications, and autoimmune disorders that produce inhibitors against clotting factors.