1. ICD-10-CM Codes
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2. D50-D89
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3. D65-D69
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4. D65-
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5. 2023 ICD-10-CM Diagnosis Code D65

2023 ICD-10-CM Diagnosis Code D65

Disseminated intravascular coagulation [defibrination syndrome]

2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

• D65 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• Short description: Disseminated intravascular coagulation
• The 2023 edition of ICD-10-CM D65 became effective on October 1, 2022.
• This is the American ICD-10-CM version of D65 - other international versions of ICD-10 D65 may differ.

• Disseminated intravascular coagulation
• Purpura fulminans

• A disease where the blood clots throughout the body and increases the risk of bleeding
• A disorder characterized by procoagulant substances entering the general circulation causing a systemic thrombotic process. The activation of the clotting mechanism may arise from any of a number of disorders. A majority of the patients manifest skin lesions, sometimes leading to purpura fulminans.
• A disorder characterized by reduction in the elements involved in blood coagulation due to their utilization in widespread blood clotting within the vessels.
• A disorder characterized by systemic pathological activation of blood clotting mechanisms which results in clot formation throughout the body. There is an increase in the risk of hemorrhage as the body is depleted of platelets and coagulation factors.
• A pathological process in the body where the blood starts to coagulate throughout the whole body. This depletes the body of its platelets and coagulation factors, and there is an increased the risk of hemorrhage.
• A pathological process where the blood starts to coagulate throughout the whole body. This depletes the body of its platelets and coagulation factors, and there is an increased risk of hemorrhage.
• A severe, rapidly fatal reaction occurring most commonly in children following an infectious illness. It is characterized by large, rapidly spreading skin hemorrhages, fever, or shock. Purpura fulminans often accompanies or is triggered by disseminated intravascular coagulation.
• Disorder characterized by reduction in the elements involved in blood coagulation due to their utilization in widespread blood clotting within the vessels; the activation of the clotting mechanism may arise from any of a number of disorders; in the late stages, it is marked by profuse hemorrhaging.

• 791 Prematurity with major problems
• 793 Full term neonate with major problems
• 813 Coagulation disorders

Convert D65 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change

• Code First: N08
  ICD-10-CM Diagnosis Code N08

  Glomerular disorders in diseases classified elsewhere

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code

  Applicable To

  • Glomerulonephritis
  • Nephritis
  • Nephropathy

  Code First

  • underlying disease, such as:
  • amyloidosis (E85.-)
  • congenital syphilis (A50.5)
  • cryoglobulinemia (D89.1)
  • disseminated intravascular coagulation (D65)
  • gout (M1A.-, M10.-)
  • microscopic polyangiitis (M31.7)
  • multiple myeloma (C90.0-)
  • sepsis (A40.0-A41.9)
  • sickle-cell disease (D57.0-D57.8)

  Type 1 Excludes

  • glomerulonephritis, nephritis and nephropathy (in):
  • antiglomerular basement membrane disease (M31.0)
  • diabetes (E08-E13 with .21)
  • gonococcal (A54.21)
  • Goodpasture's syndrome (M31.0)
  • hemolytic-uremic syndrome (D59.3-)
  • lupus (M32.14)
  • mumps (B26.83)
  • syphilis (A52.75)
  • systemic lupus erythematosus (M32.14)
  • Wegener's granulomatosis (M31.31)
  • pyelonephritis in diseases classified elsewhere (N16)
  • renal tubulo-interstitial disorders classified elsewhere (N16)
• Type 1 Excludes: D68.6
  , D69
  ICD-10-CM Diagnosis Code D68.6

  Other thrombophilia

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Applicable To

  • Other hypercoagulable states

  Type 1 Excludes

  • diffuse or disseminated intravascular coagulation [DIC] (D65)
  • heparin induced thrombocytopenia (HIT) (D75.82-)
  • hyperhomocysteinemia (E72.11)
  ICD-10-CM Diagnosis Code D69

  Purpura and other hemorrhagic conditions

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • benign hypergammaglobulinemic purpura (D89.0)
  • cryoglobulinemic purpura (D89.1)
  • essential (hemorrhagic) thrombocythemia (D47.3)
  • hemorrhagic thrombocythemia (D47.3)
  • purpura fulminans (D65)
  • thrombotic thrombocytopenic purpura (M31.19)
  • Waldenström hypergammaglobulinemic purpura (D89.0)
• Use Additional: R65.11
  , R65.2
  ICD-10-CM Diagnosis Code R65.11

  Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Use Additional

  • code to identify specific acute organ dysfunction, such as:
  • acute kidney failure (N17.-)
  • acute respiratory failure (J96.0-)
  • critical illness myopathy (G72.81)
  • critical illness polyneuropathy (G62.81)
  • disseminated intravascular coagulopathy [DIC] (D65)
  • encephalopathy (metabolic) (septic) (G93.41)
  • hepatic failure (K72.0-)
  ICD-10-CM Diagnosis Code R65.2

  Severe sepsis

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Applicable To

  • Infection with associated acute organ dysfunction
  • Sepsis with acute organ dysfunction
  • Sepsis with multiple organ dysfunction
  • Systemic inflammatory response syndrome due to infectious process with acute organ dysfunction

  Code First

  • underlying infection, such as:
  • infection following a procedure (T81.4-)
  • infections following infusion, transfusion and therapeutic injection (T80.2-)
  • puerperal sepsis (O85)
  • sepsis following complete or unspecified spontaneous abortion (O03.87)
  • sepsis following ectopic and molar pregnancy (O08.82)
  • sepsis following incomplete spontaneous abortion (O03.37)
  • sepsis following (induced) termination of pregnancy (O04.87)
  • sepsis NOS (A41.9)

  Use Additional

  • code to identify specific acute organ dysfunction, such as:
  • acute kidney failure (N17.-)
  • acute respiratory failure (J96.0-)
  • critical illness myopathy (G72.81)
  • critical illness polyneuropathy (G62.81)
  • disseminated intravascular coagulopathy [DIC] (D65)
  • encephalopathy (metabolic) (septic) (G93.41)
  • hepatic failure (K72.0-)

• Absence (of) (organ or part) (complete or partial)
  • fibrinogen (congenital) D68.2
    ICD-10-CM Diagnosis Code D68.2

    Hereditary deficiency of other clotting factors

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • AC globulin deficiency
    • Congenital afibrinogenemia
    • Deficiency of factor I [fibrinogen]
    • Deficiency of factor II [prothrombin]
    • Deficiency of factor V [labile]
    • Deficiency of factor VII [stable]
    • Deficiency of factor X [Stuart-Prower]
    • Deficiency of factor XII [Hageman]
    • Deficiency of factor XIII [fibrin stabilizing]
    • Dysfibrinogenemia (congenital)
    • Hypoproconvertinemia
    • Owren's disease
    • Proaccelerin deficiency
    • acquired D65
• Afibrinogenemia D68.8
  - see also Defect, coagulation
  ICD-10-CM Diagnosis Code D68.8

  Other specified coagulation defects

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Type 1 Excludes

  • hemorrhagic disease of newborn (P53)
  • acquired D65
• Coagulopathy - see also Defect, coagulation
  • intravascular D65
  • consumption D65
• Defibrination (syndrome) D65
• Deficiency, deficient
  • fibrinogen (congenital) (hereditary) D68.2
    ICD-10-CM Diagnosis Code D68.2

    Hereditary deficiency of other clotting factors

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • AC globulin deficiency
    • Congenital afibrinogenemia
    • Deficiency of factor I [fibrinogen]
    • Deficiency of factor II [prothrombin]
    • Deficiency of factor V [labile]
    • Deficiency of factor VII [stable]
    • Deficiency of factor X [Stuart-Prower]
    • Deficiency of factor XII [Hageman]
    • Deficiency of factor XIII [fibrin stabilizing]
    • Dysfibrinogenemia (congenital)
    • Hypoproconvertinemia
    • Owren's disease
    • Proaccelerin deficiency
    • acquired D65
• Disorder (of) - see also Disease
  • glomerular (in) N05.9
    ICD-10-CM Diagnosis Code N05.9

    Unspecified nephritic syndrome with unspecified morphologic changes

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • disseminated intravascular coagulation D65
• Fibrinogenopenia D68.8
  ICD-10-CM Diagnosis Code D68.8

  Other specified coagulation defects

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Type 1 Excludes

  • hemorrhagic disease of newborn (P53)
  • acquired D65
• Fibrinolysis (hemorrhagic) (acquired) D65
• Glomerulonephritis N05.9
  - see also Nephritis
  ICD-10-CM Diagnosis Code N05.9

  Unspecified nephritic syndrome with unspecified morphologic changes

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • in (due to)
    • defibrination syndrome D65
    • disseminated intravascular coagulation D65
• Hypofibrinogenemia D68.8
  ICD-10-CM Diagnosis Code D68.8

  Other specified coagulation defects

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Type 1 Excludes

  • hemorrhagic disease of newborn (P53)
  • acquired D65
• Proteolysis, pathologic D65
• Purpura D69.2
  ICD-10-CM Diagnosis Code D69.2

  Other nonthrombocytopenic purpura

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Applicable To

  • Purpura NOS
  • Purpura simplex
  • Senile purpura
  • fulminans, fulminous D65
  • gangrenous D65
• Syndrome - see also Disease
  • DIC D65 (diffuse or disseminated intravascular coagulopathy)
  • ICF D65 (intravascular coagulation-fibrinolysis)
  • intravascular coagulation-fibrinolysis D65 (ICF)
  • IVC D65 (intravascular coagulopathy)

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.