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Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Disseminated intravascular coagulation [defibrination syndrome]

See Tabular List: D65

D65, Disseminated intravascular coagulation [defibrination syndrome]

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes

D65

Disseminated intravascular coagulation [defibrination syndrome]

Open the shareable code page for D65→
billable

Includes

official source
  • Afibrinogenemia, acquired
  • Consumption coagulopathy
  • COVID-19 associated diffuse or disseminated intravascular coagulopathy
  • Diffuse or disseminated intravascular coagulation [DIC]
  • Fibrinolytic hemorrhage, acquired
  • Fibrinolytic purpura
  • Purpura fulminans

Excludes 1

official source
  • disseminated intravascular coagulation (complicating):
  • in newborn (P60)
  • pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

Excludes 2

official source
  • disseminated intravascular coagulation (complicating):
  • abortion or ectopic or molar pregnancy (O00-O07, O08.1)

Code First

official source

Not listed for this effective period.

Use Additional

official source

Not listed for this effective period.

Code Also

official source
  • , if applicable, associated condition

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy
HCC Buddy
Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Disseminated intravascular coagulation [defibrination syndrome]

See Tabular List: D65

D65, Disseminated intravascular coagulation [defibrination syndrome]

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes

D65

Disseminated intravascular coagulation [defibrination syndrome]

Open the shareable code page for D65→
billable

Includes

official source
  • Afibrinogenemia, acquired
  • Consumption coagulopathy
  • COVID-19 associated diffuse or disseminated intravascular coagulopathy
  • Diffuse or disseminated intravascular coagulation [DIC]
  • Fibrinolytic hemorrhage, acquired
  • Fibrinolytic purpura
  • Purpura fulminans

Excludes 1

official source
  • disseminated intravascular coagulation (complicating):
  • in newborn (P60)
  • pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

Excludes 2

official source
  • disseminated intravascular coagulation (complicating):
  • abortion or ectopic or molar pregnancy (O00-O07, O08.1)

Code First

official source

Not listed for this effective period.

Use Additional

official source

Not listed for this effective period.

Code Also

official source
  • , if applicable, associated condition

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy Insights

HCC Mapping

V28 source requiredHCC 48 Coagulation Defects and Other Specified Hematological Disorders (V24)RxHCC source requiredHCC 48 Coagulation Defects and Other Specified Hematological Disorders (ESRD/PACE)HCC 75 HHS-HCC 75; HHS-HCC 2026 benefit year (HHS-HCC)

RAF Value

V28 RAF source requiredV24: RAF: 0.192RxHCC RAF source requiredESRD/PACE: RAF: 0.063HHS-HCC: RAF: Varies by metal level

Model Period

FY2026 Apr update

Source

source required

Audit Caution

Close codes need documentation support before selection. Do not assume relationships.
Reviewed by the HCC Buddy Coding Team

HCC Buddy workflow band

HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.

MEAT supportaudit cautionsource required

V24

HCC 48

Coagulation Defects and Other Specified Hematological Disorders

RAF: 0.192

ESRD/PACE

HCC 48

Coagulation Defects and Other Specified Hematological Disorders

RAF: 0.063

HHS-HCC

HCC 75

HHS-HCC 75; HHS-HCC 2026 benefit year

RAF: Varies by metal level

MEAT checklist

Reviewed by the HCC Buddy Coding Team

Monitor, Evaluate, Assess, or Treat must be supported in the provider note.

HCC Buddy guidance, not official ICD-10-CM text.

Audit caution

Reviewed by the HCC Buddy Coding Team

Close codes need documentation support before selection. Do not assume relationships.

HCC Buddy guidance, not official ICD-10-CM text.

Reviewer sign-off

Reviewed by the HCC Buddy Coding Team

MEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.

HCC Buddy enrichment is separate from official source text.

Last updated: April 1, 2026 · Not a substitute for official coding guidelines. No PHI or patient data.
HCC Buddy Code Card
FY 2026 Apr update
D65Billable

Disseminated intravascular coagulation [defibrination syndrome]

CMS-HCC V24

HCC 48

RAF 0.192

ESRD/PACE

HCC 48

RAF 0.063

ACA/HHS

HCC 75

RAF Varies by metal level

Reviewed by the HCC Buddy Coding TeamFY2026 Apr update

Code

D65

V28 HCC

Not mapped

RAF

source required

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