D65: Disseminated intravascular coagulation [defibrination syndrome]
D65 is a billable, specific ICD-10-CM code for disseminated intravascular coagulation [defibrination syndrome]. It is valid for submission on a claim.
Check D65 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, associated condition
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Afibrinogenemia, acquired
- Consumption coagulopathy
- COVID-19 associated diffuse or disseminated intravascular coagulopathy
- Diffuse or disseminated intravascular coagulation [DIC]
- Fibrinolytic hemorrhage, acquired
- Fibrinolytic purpura
- Purpura fulminans
Other codes that can never be billed with D65
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D65 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
Alphabetic index entries that lead here
- Defibrination(syndrome)
- Fibrinolysis(hemorrhagic) (acquired)
- Proteolysis, pathologic
- Afibrinogenemia›acquired
- Coagulation, intravascular›COVID-19 associated
- Coagulopathy›consumption
- Coagulopathy›intravascular
- Fibrinogenopenia›acquired
- Hypofibrinogenemia›acquired
- Purpura›fulminans, fulminous
- Purpura›gangrenous
- Syndrome›DIC(diffuse or disseminated intravascular coagulopathy)
Code history
Unchanged in every release from FY2024 to FY2027.