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ICD-10 Guide
ICD-10 CodesD68.00

D68.00

Billable

Von Willebrand disease, unspecified

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

Code Description

ICD-10 D68.00 is a billable code used to indicate a diagnosis of von willebrand disease, unspecified.

Key Diagnostic Point:

Von Willebrand disease (VWD) is a hereditary bleeding disorder caused by a deficiency or dysfunction of von Willebrand factor (VWF), a protein crucial for blood clotting. VWD is characterized by prolonged bleeding, easy bruising, and mucosal bleeding, which can occur spontaneously or after minor injuries. The condition is classified into three main types: Type 1 (mild), Type 2 (moderate), and Type 3 (severe), with Type 1 being the most common and least severe. Patients with VWD may experience symptoms such as frequent nosebleeds, heavy menstrual bleeding, and excessive bleeding after dental work or surgery. Diagnosis typically involves laboratory tests to measure VWF levels and activity, as well as factor VIII levels. Treatment may include desmopressin, which stimulates the release of VWF, or replacement therapy with clotting factor concentrates in more severe cases. Accurate coding of VWD is essential for appropriate management and reimbursement, as it can significantly impact patient care and treatment outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Need for specific laboratory test results for accurate diagnosis
  • Differentiation from other bleeding disorders like hemophilia and thrombocytopenia
  • Potential for misclassification due to overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of bleeding episodes
  • Failure to specify the type of Von Willebrand disease
  • Misuse of unspecified codes when more specific codes are available
  • Lack of supporting lab results in the medical record

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, laboratory test results, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of VWD, preoperative assessments for patients with bleeding disorders.

Billing Considerations

Ensure accurate documentation of bleeding severity and response to treatment.

Primary Care

Documentation Requirements

Comprehensive patient history, including family history of bleeding disorders.

Common Clinical Scenarios

Initial evaluation of patients presenting with unexplained bleeding or bruising.

Billing Considerations

Referral to a hematologist for further evaluation and management may be necessary.

Coding Guidelines

Inclusion Criteria

Use D68.00 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code reflects the patient's specific condition
  • Include documentation of the type of VWD if known, and ensure that all relevant clinical information is captured

Exclusion Criteria

Do NOT use D68.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used for laboratory testing to diagnose VWD.

Documentation Requirements

Document the reason for blood draw and any relevant clinical history.

Specialty Considerations

Hematology specialists may require additional tests beyond standard blood draws.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including VWD. This specificity improves the accuracy of patient records and enhances the ability to track treatment outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including VWD. This specificity improves the accuracy of patient records and enhances the ability to track treatment outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including VWD. This specificity improves the accuracy of patient records and enhances the ability to track treatment outcomes and resource utilization.

Resources

Clinical References

  • •
    National Hemophilia Foundation

Coding & Billing References

  • •
    National Hemophilia Foundation

Frequently Asked Questions

What is the difference between Von Willebrand disease and hemophilia?

Von Willebrand disease is caused by a deficiency or dysfunction of von Willebrand factor, while hemophilia is primarily due to a deficiency of clotting factors (such as factor VIII or IX). Both conditions lead to bleeding disorders, but their underlying causes and treatments differ.