D67
D67: Hereditary factor IX deficiency
Billable / specific codeICD-10-CM
D67 is a billable, specific ICD-10-CM code for hereditary factor ix deficiency. It is valid for submission on a claim.
Check D67 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Christmas disease
- Factor IX deficiency (with functional defect)
- Hemophilia B
- Plasma thromboplastin component [PTC] deficiency
Risk adjustment
D67 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 111 Hemophilia, Male4.639 RAF
- HCC 111 Hemophilia, Male4.639 RAF
- HCC 112 Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions0.450 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D67 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56065Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Alphabetic index entries that lead here
- Christmas disease
- Deficiency, deficient›Christmas factor
- Deficiency, deficient›PTC(plasma thromboplastin component)
- Disease, diseased›Christmas
- Hemophilia›B
- Deficiency, deficient›autoprothrombin›II
- Deficiency, deficient›factor›IX(congenital) (functional) (hereditary) (with functional defect)
- Deficiency, deficient›plasma thromboplastin›component(PTC)
- Deficiency, deficient›anti-hemophilic›factor›B
Code history
Unchanged in every release from FY2024 to FY2027.