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v1.0.0
ICD-10 Guide
ICD-10 CodesD68.029

D68.029

Billable

Von Willebrand disease, type 2, unspecified

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

Code Description

ICD-10 D68.029 is a billable code used to indicate a diagnosis of von willebrand disease, type 2, unspecified.

Key Diagnostic Point:

Von Willebrand disease (VWD) is a genetic bleeding disorder caused by a deficiency or dysfunction of von Willebrand factor (VWF), a protein crucial for platelet adhesion and aggregation. Type 2 VWD is characterized by a qualitative defect in VWF, leading to varying degrees of bleeding symptoms. Patients may experience easy bruising, prolonged bleeding from cuts, heavy menstrual periods, and spontaneous bleeding episodes. The severity of symptoms can vary widely among individuals, and the diagnosis is often confirmed through laboratory tests that assess VWF levels and function. Type 2 VWD is further classified into subtypes (2A, 2B, 2M, and 2N), but when unspecified, it indicates a general diagnosis without further classification. Management typically involves desmopressin administration, which stimulates the release of VWF, and in some cases, factor replacement therapy may be necessary. Understanding the nuances of this condition is essential for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Need for laboratory confirmation of VWF levels and function
  • Differentiation from other bleeding disorders like hemophilia
  • Potential for misclassification with other types of VWD

Audit Risk Factors

  • Inadequate documentation of laboratory results
  • Failure to specify the type of VWD when applicable
  • Misdiagnosis due to overlapping symptoms with other bleeding disorders
  • Lack of detailed patient history regarding bleeding episodes

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Comprehensive documentation of bleeding history, laboratory test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained bleeding, easy bruising, or a family history of bleeding disorders.

Billing Considerations

Ensure accurate classification of VWD type and thorough documentation of any genetic testing performed.

Genetics

Documentation Requirements

Detailed family history and genetic testing results to confirm diagnosis.

Common Clinical Scenarios

Patients with a family history of bleeding disorders seeking genetic counseling.

Billing Considerations

Document the implications of genetic findings on treatment and family planning.

Coding Guidelines

Inclusion Criteria

Use D68.029 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and laboratory results
  • Include any relevant history of bleeding disorders and family history as part of the coding process

Exclusion Criteria

Do NOT use D68.029 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 tests to confirm VWD diagnosis.

Documentation Requirements

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

Specialty Considerations

Ensure that the specialty performing the test is noted in the documentation.

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 the differentiation of VWD types, which aids in better patient management and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including the differentiation of VWD types, which aids in better patient management and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including the differentiation of VWD types, which aids in better patient management and treatment planning.

Resources

Clinical References

  • •
    National Hemophilia Foundation

Coding & Billing References

  • •
    National Hemophilia Foundation

Frequently Asked Questions

What is Von Willebrand disease type 2?

Von Willebrand disease type 2 is a bleeding disorder caused by a qualitative defect in von Willebrand factor, leading to impaired platelet function and increased bleeding risk.