D68.9 — Coagulation defect, unspecified
Is D68.9 billable?
Yes, but D68.9 is an unspecified code. D68.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, D68.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting D68.9 — the more specific alternatives are listed below.
More specific alternatives
- D68.0Von Willebrand diseasenot billable
- D68.1Hereditary factor XI deficiency
- D68.2Hereditary deficiency of other clotting factors
- D68.3Hemorrhagic disorder due to circulating anticoagulantsnot billable
- D68.4Acquired coagulation factor deficiency
- D68.5Primary thrombophilianot billable
- D68.6Other thrombophilianot billable
D68.9 at a glance
| Code | D68.9 |
|---|---|
| Description | Coagulation defect, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D68.9 group to?
D68.9 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, D68.9 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is D68.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D68.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Abnormal, abnormality, abnormalities › coagulation
- Defect, defective › coagulation
- Deficiency, deficient › clotting
- Deficiency, deficient › coagulation NOS
- Disorder › bleeding (of)
- Disorder › coagulation (of)
- Disturbance › blood clotting (s)
Excludes1 — never code together — inherited from D68
The conditions below can never be reported together with D68.9 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 D68.9, but a patient may have both at the same time. When documentation supports it, D68.9 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 D68.9, but a patient may have both at the same time. When documentation supports it, D68.9 and the excluded code may both be reported.
How long has D68.9 existed?
D68.9 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 conditions are coded to D68.9?
What other codes are in the D68 family? (8)
- D68.0Von Willebrand diseasenot billable
- D68.1Hereditary factor XI deficiency
- D68.2Hereditary deficiency of other clotting factors
- D68.3Hemorrhagic disorder due to circulating anticoagulantsnot billable
- D68.4Acquired coagulation factor deficiency
- D68.5Primary thrombophilianot billable
- D68.6Other thrombophilianot billable
- D68.8Other specified coagulation defects