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D68.09 ICD-10-CM Code: Other von Willebrand disease

D68.09 maps to CMS-HCC V28 112. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupD68.09

FY 2026 Apr update / Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) / Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)

D68.09

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other von Willebrand disease

A bleeding disorder related to von Willebrand factor that does not fit into the standard type 1, 2, or 3 classifications.

Buddy the Bee presenting code insight

Buddy Insight

This code captures other specified forms of von Willebrand disease that do not fit into Types 1, 2, or 3 categories, including atypical presentations or mixed phenotypes.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 112

Coefficient HCC 112: 0.450 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 075

Code-level coefficient reference

ESRD/PACE

HCC 48

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
D68Other coagulation defectsD68.0Von Willebrand diseaseD68.09Other von Willebrand disease

Inclusion Terms

Official
  • Platelet-type von Willebrand disease
  • Pseudo-von Willebrand disease

Excludes 2

Official
  • autoimmune disease (systemic) NOS (M35.9)Inherited from D50-D89, D68
  • certain conditions originating in the perinatal period (P00-P96)Inherited from D50-D89, D68
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from D50-D89, D68
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Inherited from D50-D89, D68
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from D50-D89, D68
  • human immunodeficiency virus [HIV] disease (B20)Inherited from D50-D89, D68
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from D50-D89, D68
  • neoplasms (C00-D49)Inherited from D50-D89, D68
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from D50-D89, D68
  • coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)Inherited from D50-D89, D68
  • coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)Inherited from D50-D89, D68

Related Codes

Official
D68.00Von Willebrand disease, unspecifiedD68.01Von Willebrand disease, type 1D68.02Von Willebrand disease, type 2D68.03Von Willebrand disease, type 3D68.04Acquired von Willebrand disease

Includes

Official

No Includes notes are included in this display for D68.09. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • abnormal coagulation profile NOS (R79.1)Inherited from D68, D68.0
  • capillary fragility (hereditary) (D69.8)Inherited from D68, D68.0
  • factor VIII deficiency NOS (D66)Inherited from D68, D68.0
  • factor VIII deficiency with functional defect (D66)Inherited from D68, D68.0

Code First

Official

No Code First sequencing instructions are included in this display for D68.09. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for D68.09. Check the code and parent instructions in the Code Book.

Code Also

Official
  • , if applicable, qualitative platelet defects (D69.1)

Buddy Documentation Tip

HCC Buddy guidance
Document all VWF testing performed including antigen, activity, multimer analysis, and factor VIII levels.
Explain why the presentation does not fit standard types and what specific features distinguish this variant.
Record genetic testing results if available and the current treatment approach.

MEAT Support

HCC Buddy guidance
Document all VWF testing performed including antigen, activity, multimer analysis, and factor VIII levels.
Explain why the presentation does not fit standard types and what specific features distinguish this variant.
Record genetic testing results if available and the current treatment approach.

Audit Caution

HCC Buddy guidance
Verify that the documentation truly describes an atypical VWD variant rather than incomplete workup that should be coded as D68.00 (unspecified).
Query the provider if testing is pending that would allow more specific classification.
This code should be relatively uncommon in practice.

Common Mistakes

HCC Buddy guidance
D68.00 (Von Willebrand disease, unspecified) — used when no subtyping has been attempted versus D68.09 which implies testing was done but doesn't fit standard categories
D68.01-D68.03 (Specific types) — should be used when the phenotype clearly matches a standard type.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is D68.09 an HCC code?

Yes. D68.09 (Other von Willebrand disease) maps to HCC 112, Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.450. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: D68.09 is billable and maps to V28 HCC 112, Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
D68.09
Description
Other von Willebrand disease
HCC (V28)
HCC 112 — Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
RAF reference coefficient
0.450
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 112, Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
0.450
ESRDHCC 48, Coagulation Defects and Other Specified Hematological Disorders
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work D68.09 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for D68.09

For D68.09, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

D68.09 is the ICD-10-CM diagnosis code for other von willebrand disease. A bleeding disorder related to von Willebrand factor that does not fit into the standard type 1, 2, or 3 classifications. D68.09 sits in the ICD-10-CM chapter for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89), within the section covering coagulation defects, purpura and other hemorrhagic conditions (d65-d69).

Under the CMS-HCC V28 risk adjustment model, D68.09 maps to Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions (HCC 112) with a source-labeled community, non-dual, aged reference coefficient of 0.450. No V24 mapping is shown for D68.09; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Use this code for atypical presentations or variants of von Willebrand disease not captured by more specific codes. For D68.09, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D68.09 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Use this code for atypical presentations or variants of von Willebrand disease not captured by more specific codes
  • •Document the specific characteristics or test results that led to this diagnosis to justify the use of the unspecified category

Clinical Significance

This code captures other specified forms of von Willebrand disease that do not fit into Types 1, 2, or 3 categories, including atypical presentations or mixed phenotypes. It may also be used for provisionally diagnosed VWD where complete subtyping has not yet been performed but certain features exclude the standard types.

Documentation Requirements

  • ✓Document all VWF testing performed including antigen, activity, multimer analysis, and factor VIII levels.
  • ✓Explain why the presentation does not fit standard types and what specific features distinguish this variant.
  • ✓Record genetic testing results if available and the current treatment approach.

Code Also

  • , if applicable, qualitative platelet defects (D69.1)

Commonly Confused Codes

  • •D68.00 (Von Willebrand disease, unspecified): used when no subtyping has been attempted versus D68.09 which implies testing was done but doesn't fit standard categories
  • •D68.01-D68.03 (Specific types): should be used when the phenotype clearly matches a standard type.

Child Codes

D68.00Von Willebrand disease, unspecified
HCC 112
D68.01Von Willebrand disease, type 1
HCC 112
D68.02Von Willebrand disease, type 2
D68.03Von Willebrand disease, type 3
HCC 112
D68.04Acquired von Willebrand disease
HCC 112
D68.09Other von Willebrand disease
HCC 112

Code Hierarchy

└D68Other coagulation defects└D68.0Von Willebrand disease└D68.09Other von Willebrand disease
└D68.09Other von Willebrand disease

D68.09 code history

Code setChange
FY2023 (effective Oct 1, 2022)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

Also searched as

  • D68 09
  • D6809

For D68.09, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

D68.09 maps to CMS-HCC V28 category 112, Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for D68.09. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work D68.09 in HCC Buddy

Open D68.09 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.

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