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FY2027 ICD-10-CM reference

D68.2: Hereditary deficiency of other clotting factors

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Hereditary deficiency of other clotting factors. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

Oct to Dec 2026, PY2027

CMS-HCC V28

Mapped
  • HCC 112Immune Thrombocytopenia and Specified Coagula...Coefficient 0.45 (CNA, PY2027)

CMS-HCC V24

Not used by CMS

ESRD

Mapped
  • HCC 48Coagulation Defects and Other Specified Hemat...Coefficient 0.063 (Dialysis CE, PY2027)

RxHCC

No CMS category

PACE (CMS-HCC V22 component)

Mapped
  • HCC 48Coagulation Defects and Other Specified Hemat...

PACE ESRD (ESRD V21 component)

Mapped
  • HCC 48Coagulation Defects and Other Specified Hemat...

PACE RxHCC (2018/2019 component)

No CMS category

Jan to Sep 2027, PY2028

CMS-HCC V28

Not published by CMS

CMS-HCC V24

Not published by CMS

ESRD

Not published by CMS

RxHCC

Not published by CMS

PACE (CMS-HCC V22 component)

Not published by CMS

PACE ESRD (ESRD V21 component)

Not published by CMS

PACE RxHCC component

Not published by CMS

Oct to Dec 2026, BY2026

HHS-HCC

Pending

Jan to Sep 2027, BY2027

HHS-HCC

Not published by CMS

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Excludes2

autoimmune disease (systemic) NOS (M35.9)

Source: D50-D89 (chapter, inherited).

Excludes2

certain conditions originating in the perinatal period (P00-P96)

Source: D50-D89 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: D50-D89 (chapter, inherited).

Excludes2

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

Source: D50-D89 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: D50-D89 (chapter, inherited).

Excludes2

human immunodeficiency virus [HIV] disease (B20)

Source: D50-D89 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: D50-D89 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: D50-D89 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: D50-D89 (chapter, inherited).

Excludes1

abnormal coagulation profile NOS (R79.1)

Source: D68 (category, inherited).

Excludes2

coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)

Source: D68 (category, inherited).

Excludes2

coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

Source: D68 (category, inherited).

Instructional note

AC globulin deficiency

Source: D68.2 (self, direct).

Instructional note

Congenital afibrinogenemia

Source: D68.2 (self, direct).

Instructional note

Deficiency of factor I [fibrinogen]

Source: D68.2 (self, direct).

Instructional note

Deficiency of factor II [prothrombin]

Source: D68.2 (self, direct).

Instructional note

Deficiency of factor V [labile]

Source: D68.2 (self, direct).

Instructional note

Deficiency of factor VII [stable]

Source: D68.2 (self, direct).

Instructional note

Deficiency of factor X [Stuart-Prower]

Source: D68.2 (self, direct).

Instructional note

Deficiency of factor XII [Hageman]

Source: D68.2 (self, direct).

Instructional note

Deficiency of factor XIII [fibrin stabilizing]

Source: D68.2 (self, direct).

Instructional note

Dysfibrinogenemia (congenital)

Source: D68.2 (self, direct).

Instructional note

Hypoproconvertinemia

Source: D68.2 (self, direct).

Instructional note

Owren's disease

Source: D68.2 (self, direct).

Instructional note

Proaccelerin deficiency

Source: D68.2 (self, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does D68.2 mean in FY2027?

The official ICD-10-CM descriptor is Hereditary deficiency of other clotting factors. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is D68.2 billable in FY2027?

The FY2027 order file marks D68.2 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does D68.2 map to an HCC?

Oct to Dec 2026, PY2027: CMS-HCC V28 HCC 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions); CMS-HCC V24: Not used by CMS; ESRD HCC 48 (Coagulation Defects and Other Specified Hematological Disorders); RxHCC: No CMS category. Jan to Sep 2027, PY2028: CMS-HCC V28: Not published by CMS; CMS-HCC V24: Not published by CMS; ESRD: Not published by CMS; RxHCC: Not published by CMS. Oct to Dec 2026, BY2026: HHS-HCC: Pending. Jan to Sep 2027, BY2027: HHS-HCC: Not published by CMS. Base coefficients are reference values, not a member total.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition