D68.0 vs D69.8
D68.0 and D69.8 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
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
- Pseudohemophilia › Type A (Bernuth's) (hereditary) (type B)
- Pseudohemophilia › vascular (Bernuth's) (hereditary) (type B)
- Purpura › capillary fragility
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