D65-D69 — Coagulation defects, purpura and other hemorrhagic conditions
ICD-10-CM codes D65-D69 cover coagulation defects, purpura and other hemorrhagic conditions, within diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. The block holds 50 codes across 5 categories, of which 40 are billable and 10 are header codes that cannot be submitted on a claim.
Risk adjustment in D65-D69
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 112 Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
- HCC 111 Hemophilia, Male
What else to watch in D65-D69
- 38 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.