Is D68.1 a billable ICD-10-CM code?

Yes. D68.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D68.1 sit in the tabular list?

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Coagulation defects, purpura and other hemorrhagic conditions (D65-D69).

D68.1

D68.1 — Hereditary factor XI deficiency

Billable / specific codeICD-10-CM

D68.1 is a billable, specific ICD-10-CM code for hereditary factor xi deficiency. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Hemophilia C
Plasma thromboplastin antecedent [PTA] deficiency
Rosenthal's disease

Risk adjustment

D68.1 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.

Medicare coverage

D68.1 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57954Billing and Coding: Routine Foot Care

How D68.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D68.1.

Rosenthal's disease or syndrome
Deficiency, deficient›PTA(plasma thromboplastin antecedent)
Disease, diseased›Rosenthal's(factor XI deficiency)
Hemophilia›C
Deficiency, deficient›factor›XI(congenital) (hereditary)
Deficiency, deficient›plasma thromboplastin›antecedent(PTA)
Deficiency, deficient›anti-hemophilic›factor›C

Related codes at this level

Codes that share D68. If D68.1 is not quite right, the correct code is usually one of these.

Questions about D68.1

Is D68.1 a billable ICD-10-CM code?: Yes. D68.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D68.1 sit in the tabular list?: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Coagulation defects, purpura and other hemorrhagic conditions (D65-D69).