D68.4 — Acquired coagulation factor deficiency

BillableCC

Is D68.4 billable?

Yes — D68.4 is billable for FY2027. D68.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D68.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

D68.4 at a glance

Code	D68.4
Description	Acquired coagulation factor deficiency
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does D68.4 group to?

D68.4 sits in MDC 16 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

813Coagulation Disordersmedical

As a secondary diagnosis, D68.4 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is D68.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to D68.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

Hyperprothrombinemia, causing coagulation factor deficiency
Fibrinopenia › acquired (hereditary)
Hemophilia › calcipriva (classical) (familial) (hereditary)
Hemophilia › nonfamilial (classical) (familial) (hereditary)
Hypoprothrombinemia › acquired (congenital) (hereditary) (idiopathic)
Defect, defective › coagulation › acquired
Deficiency, deficient › AC globulin › acquired
Deficiency, deficient › coagulation NOS › acquired
Deficiency, deficient › fibrin-stabilizing factor › acquired
Deficiency, deficient › labile factor › acquired
Deficiency, deficient › proaccelerin › acquired
Deficiency, deficient › proconvertin factor › acquired

Excludes1 — never code together

The conditions below can never be reported together with D68.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

vitamin K deficiency of newborn (P53)

Inclusion terms

Alternative wording in documentation that is classified to D68.4.

Deficiency of coagulation factor due to liver disease
Deficiency of coagulation factor due to vitamin K deficiency

Excludes1 — never code together — inherited from D68

The conditions below can never be reported together with D68.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

abnormal coagulation profile NOS (R79.1)

Excludes2 — not included here — inherited from Chapter 3

The conditions below are not part of D68.4, but a patient may have both at the same time. When documentation supports it, D68.4 and the excluded code may both be reported.

autoimmune disease (systemic) NOS (M35.9)
certain conditions originating in the perinatal period (P00-P96)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
human immunodeficiency virus [HIV] disease (B20)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Excludes2 — not included here — inherited from D68

The conditions below are not part of D68.4, but a patient may have both at the same time. When documentation supports it, D68.4 and the excluded code may both be reported.

coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)
coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

How long has D68.4 existed?

D68.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with D68.4?

ICD-10-CM declares these codes mutually exclusive with D68.4 — exactly one of each pair can be correct for a given encounter.