D68.021: Von Willebrand disease, type 2B
D68.021 is a billable, specific ICD-10-CM code for von willebrand disease, type 2b. It is valid for submission on a claim.
Check D68.021 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Qualitative defects of von Willebrand factor with high-molecular-weight von Willebrand factor loss
- Qualitative defects of von Willebrand factor with hyper-adhesive forms
- Qualitative defects of von Willebrand factor with increased affinity for platelet glycoprotein lb
Excludes1 inherited from the categories above D68.021
A category’s note binds every code beneath it.
Written on D68.0: Von Willebrand disease
Excludes2 inherited from the categories above D68.021
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with D68.021
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R79.1Abnormal coagulation profile
Risk adjustment
D68.021 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- 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
D68.021 is named in 3 Medicare coverage policies: 3 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
- A57954Billing and Coding: Routine Foot Care
- A59105Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG)
Alphabetic index entries that lead here
- Defect, defective›qualitative, of von Willebrand factor›with›high-molecular-weight von Willebrand factor loss
- Defect, defective›qualitative, of von Willebrand factor›with›hyper-adhesive forms
- Defect, defective›qualitative, of von Willebrand factor›with›increased affinity for platelet glycoprotein lb
- Disease, diseased›von Willebrand›type 2›type 2B
Code history
Unchanged in every release from FY2024 to FY2027.