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v1.0.0
ICD-10 Guide
ICD-10 CodesD68.8

D68.8

Billable

Other specified coagulation defects

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

Code Description

ICD-10 D68.8 is a billable code used to indicate a diagnosis of other specified coagulation defects.

Key Diagnostic Point:

D68.8 encompasses a variety of coagulation disorders that do not fall under more specific categories such as hemophilia or von Willebrand disease. These defects can lead to abnormal bleeding or clotting due to deficiencies or dysfunctions in specific clotting factors or platelets. Conditions may include rare inherited disorders, acquired deficiencies due to liver disease, vitamin K deficiency, or the effects of certain medications such as anticoagulants. Patients may present with symptoms ranging from easy bruising and prolonged bleeding after injury to more severe manifestations like spontaneous hemorrhages. Diagnosis typically involves a combination of clinical evaluation, family history, and laboratory tests including PT, aPTT, and specific factor assays. Management may involve replacement therapies, vitamin supplementation, or careful monitoring of anticoagulant therapy. Accurate coding is essential for appropriate treatment and reimbursement, as well as for tracking epidemiological data on these less common disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can lead to coagulation defects.
  • Need for detailed clinical documentation to specify the type of defect.
  • Potential overlap with other bleeding disorders requiring careful differentiation.
  • Variability in presentation and severity among patients.

Audit Risk Factors

  • Insufficient documentation of the specific coagulation defect.
  • Inconsistent use of terminology across clinical notes.
  • Lack of laboratory results to support the diagnosis.
  • Failure to document the clinical significance of the defect.

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Comprehensive lab results, family history, and detailed clinical notes.

Common Clinical Scenarios

Diagnosis of rare coagulation disorders, management of patients on anticoagulants.

Billing Considerations

Ensure clarity in documentation regarding the specific type of coagulation defect and its clinical implications.

Internal Medicine

Documentation Requirements

Thorough patient history, medication lists, and any relevant imaging or lab results.

Common Clinical Scenarios

Management of patients with acquired coagulation defects due to liver disease or vitamin deficiencies.

Billing Considerations

Document any comorbid conditions that may affect coagulation status.

Coding Guidelines

Inclusion Criteria

Use D68.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the documentation supports the diagnosis
  • Include any relevant laboratory findings and clinical assessments

Exclusion Criteria

Do NOT use D68.8 When
  • Exclude conditions that are more specifically defined under other codes

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with platelet count

Clinical Scenario

Used to evaluate patients with suspected coagulation defects.

Documentation Requirements

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

Specialty Considerations

Hematology specialists may require additional tests based on initial findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of coagulation defects, improving the ability to track and manage these conditions. D68.8 serves as a catch-all for less common defects, emphasizing the need for thorough documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of coagulation defects, improving the ability to track and manage these conditions. D68.8 serves as a catch-all for less common defects, emphasizing the need for thorough documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of coagulation defects, improving the ability to track and manage these conditions. D68.8 serves as a catch-all for less common defects, emphasizing the need for thorough documentation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What conditions are included under D68.8?

D68.8 includes various coagulation defects that are not classified under more specific codes, such as rare inherited disorders or acquired deficiencies.

How can I ensure accurate coding for D68.8?

Accurate coding requires thorough documentation of the specific coagulation defect, including lab results and clinical assessments.