2025 ICD-10-CM code D68.8
A coagulation defect not otherwise specified. This includes conditions where the body's clotting process is abnormal, but doesn't fit into other specific categories.
Medical necessity for the use of D68.8 rests on the presence of signs, symptoms, or laboratory findings indicative of a coagulation defect not classified elsewhere. The documentation must clearly establish the presence of a clotting abnormality and explain why other, more specific codes are not applicable.The clinical significance of the coagulation defect should be evident.
Diagnosis of coagulation defects is typically made by healthcare providers based on patient history, physical examination, signs and symptoms. Lab tests, such as CBC, blood smear, prothrombin time (PT), and partial thromboplastin time (PTT), are used to confirm the diagnosis. Treatment focuses on controlling bleeding 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 a blood clotting problem that isn't described by other, more specific codes.It means your blood doesn't clot normally.
Other specified coagulation defects.This code is used when a provider documents a specific type of coagulation defect that is not represented by another, more specific ICD-10-CM code. It excludes hemorrhagic disease of newborn (P53), abnormal coagulation profile NOS (R79.1), and coagulation defects complicating pregnancy or the puerperium (O00-O07, O08.1, O45.0, O46.0, O67.0, O72.3).
Example 1: A patient presents with frequent and unexplained nosebleeds, easy bruising, and prolonged bleeding after minor cuts. After laboratory testing reveals an abnormality in clotting factors but does not align with other specific coagulation disorders, the provider uses D68.8., A patient experiences excessive bleeding following a surgical procedure. Further investigation identifies a clotting deficiency not classified under other specific coagulation disorders, prompting the use of code D68.8., A woman experiences unusually heavy menstrual bleeding. Diagnostic tests reveal a blood clotting problem not consistent with other listed conditions. D68.8 is used to document this specific coagulation defect.
Documentation should include details of the patient's symptoms (e.g., easy bruising, prolonged bleeding), relevant family history, laboratory results of coagulation studies (PT, PTT, clotting factor assays), and any other diagnostic tests performed. The specific type of coagulation defect encountered should be described, along with the rationale for using D68.8 due to the lack of a more precise code.
- Payment Status: Active
- Specialties:Hematology, Internal Medicine, Family Medicine, Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Emergency Room - Hospital