D68.4
D68.4: Acquired coagulation factor deficiency
Billable / specific codeICD-10-CM
D68.4 is a billable, specific ICD-10-CM code for acquired coagulation factor deficiency. It is valid for submission on a claim.
Check D68.4 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.
- vitamin K deficiency of newborn (P53)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Deficiency of coagulation factor due to liver disease
- Deficiency of coagulation factor due to vitamin K deficiency
Excludes1 inherited from the categories above D68.4
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above D68.4
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with D68.4
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
D68.4 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
- A56380Billing and Coding: Rituximab
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A57954Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Hyperprothrombinemia, causing coagulation factor deficiency
- Fibrinopenia›acquired
- Hemophilia›calcipriva
- Hemophilia›nonfamilial
- Hypoprothrombinemia›acquired
- Defect, defective›coagulation›acquired
- Deficiency, deficient›AC globulin›acquired
- Deficiency, deficient›coagulation NOS›acquired(any)
- Deficiency, deficient›fibrin-stabilizing factor›acquired
- Deficiency, deficient›labile factor›acquired
- Deficiency, deficient›proaccelerin›acquired
- Deficiency, deficient›proconvertin factor›acquired
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under D68
- D68.0Von Willebrand disease
- D68.1Hereditary factor XI deficiency
- D68.2Hereditary deficiency of other clotting factors
- D68.3Hemorrhagic disorder due to circulating anticoagulants
- D68.5Primary thrombophilia
- D68.6Other thrombophilia
- D68.8Other specified coagulation defects
- D68.9Coagulation defect, unspecified