D68.4
BillableAcquired coagulation factor deficiency
HCC Category Mapping
V24HCC 48 — Coagulation Defects and Other Specified Hematological Disorders
0.209ESRDHCC 48 — Coagulation Defects and Other Specified Hematological Disorders
0.000What This Code Means
A condition where the body lacks sufficient clotting factors that are normally produced by the liver, leading to increased bleeding risk.
Coding Tips
- •Identify the underlying cause (liver disease, malnutrition, vitamin K deficiency) as it affects treatment and coding specificity
- •Document which specific clotting factors are deficient when possible for clinical clarity
Clinical Significance
Acquired coagulation factor deficiency captures reduced clotting factor levels due to conditions other than inherited disorders or anticoagulant medications, including liver disease, vitamin K deficiency, massive transfusion, and consumptive coagulopathy. This is a secondary condition that requires identification and treatment of the underlying cause. The clinical severity varies widely depending on the etiology.
Documentation Requirements
- ✓Document the specific underlying cause of the acquired factor deficiency (liver disease, vitamin K deficiency, malabsorption, massive transfusion), the specific factors affected and their levels, PT/INR and aPTT values, and treatment provided (vitamin K, FFP, PCC).
- ✓Record response to treatment and ongoing monitoring plan.
Excludes 1 — Do NOT code together
- vitamin K deficiency of newborn (P53)
Commonly Confused Codes
D68.2 (Hereditary deficiency of other clotting factors) — inherited rather than acquiredD65 (Disseminated intravascular coagulation) — consumptive coagulopathy with specific DIC criteriaD68.32 (Hemorrhagic disorder due to extrinsic anticoagulants) — medication-inducedK72.x (Hepatic failure) — may be the underlying cause.
Code Hierarchy
└D68Other coagulation defects└D68.4Acquired coagulation factor deficiency
└D68.4Acquired coagulation factor deficiency