D68.1: Hereditary factor XI deficiency
D68.1 is a billable, specific ICD-10-CM code for hereditary factor xi deficiency. It is valid for submission on a claim.
Check D68.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hemophilia C
- Plasma thromboplastin antecedent [PTA] deficiency
- Rosenthal's disease
Excludes1 inherited from the categories above D68.1
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above D68.1
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with D68.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R79.1Abnormal coagulation profile
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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D68.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57954Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under D68
- D68.0Von Willebrand disease
- D68.2Hereditary deficiency of other clotting factors
- D68.3Hemorrhagic disorder due to circulating anticoagulants
- D68.4Acquired coagulation factor deficiency
- D68.5Primary thrombophilia
- D68.6Other thrombophilia
- D68.8Other specified coagulation defects
- D68.9Coagulation defect, unspecified