Excludes1 pair
D68.0- vs D69.8
D68.0 and D69.8 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on D68.0
capillary fragility (hereditary) (D69.8)
D68.0
Von Willebrand disease
Not billable
- Chapter 3
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Section
- D65-D69
D69.8
Other specified hemorrhagic conditions
BillableUnspecified
- Chapter 3
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- Section
- D65-D69
Use when the record says
- Capillary fragility (hereditary)
- Vascular pseudohemophilia
Indexed under
- Endotheliosis (hemorrhagic infectional)
- Fragile, fragility › capillary (hereditary)
- Pseudohemophilia › Type A
- Pseudohemophilia › vascular
- Purpura › capillary fragility (hereditary) (idiopathic)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027