2025 ICD-10-CM code D68
(Active) Effective Date: N/A Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism - Coagulation defects, purpura and other hemorrhagic conditions (D65-D69) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) Feed
Other coagulation defects. This excludes abnormal coagulation profile NOS (R79.1) and coagulation defects complicating pregnancy or childbirth (O00-O08.1, O45.0, O46.0, O67.0, O72.3).
Medical necessity is established by the presence of signs, symptoms, or laboratory findings indicative of a coagulation defect, impacting the patient's health and requiring intervention.
Deficiency of proteins responsible for blood clotting causes coagulation defects. Patients with such defects may experience bruising, internal bleeding, frequent nosebleeds, chest pain, dizziness, headache, shortness of breath, and hemorrhages after surgery. Women may have heavy menstrual bleeding. Diagnosis is based on history, physical exam, and lab tests including CBC, blood smear, PT, and PTT. Treatment depends on the cause and severity and may include prothrombin complex concentrates (PCCs), fresh frozen plasma (FFP), or blood transfusions.
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
- Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)
In simple words: This code refers to problems with blood clotting other than the common ones like hemophilia.These can be inherited or acquired due to things like vitamin K deficiency or liver disease.
Other coagulation defects, such as deficiency of factors VIII and XI, are the rarest form of genetic blood disorders, seen mostly in old age. This group of blood disorders may also include acquired coagulation deficiencies, which may be caused by vitamin K deficiency, severe liver disease, and use of anticoagulants.
Example 1: A 65-year-old patient presents with unusual bruising and prolonged bleeding after a minor cut. After testing, a factor XI deficiency is diagnosed., A patient with severe liver disease develops abnormal bleeding and is found to have multiple coagulation factor deficiencies., A newborn infant is found to have vitamin K deficiency and exhibits signs of a coagulation defect.
Documentation should include the type of coagulation defect, the underlying cause (if known), the duration of the symptoms, and any associated conditions.
- Specialties:Hematology, Internal Medicine, Family Medicine, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Emergency Room - Hospital