Oncology & Hematology Coding Alert

Coagulation factor deficiency coding requires a look at the index.ICD-10-CM code D68.4 has the same definition as ICD-9-CM code 286.7. That's not the end of the coding story, though. Here's how D68.32 fits into the picture, too.ICD-9-CM code:286.7, Acquired coagulation factor deficiencyICD-10-CM codes:D68.32, Hemorrhagic disorder due to extrinsic circulating anticoagulantsD68.4, Acquired coagulation factor deficiencyICD-9-CM coding rules: Code 286.7 applies to deficiency of coagulation factor caused by liver disease or vitamin K deficiency. You should not use the code for vitamin K deficiency of a newborn, which is coded to 776.0 (Hemorrhagic disease of newborn). The code's also appropriate for acquired hypoprothrombinemia (prothrombin deficiency). ICD-9-CM instructs you to use an additional E-code to identify the cause if the deficiency is drug-induced.ICD-10-CM changes: Code 286.7 maps to two ICD-10-CM codes: D68.32 and D68.4. Code D68.32 applies to:Drug-induced hemorrhagic disorderHemorrhagic disorder due to increase in anti-IIaHemorrhagic disorder due to increase in anti-XaHyperheparinemia ICD-10-CM [...]