2026 ICD-10-CM Diagnosis Code D68.9Coagulation defect, unspecified
ICD-10-CM Codes›D50–D89›D65-D69›D68
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Chronic Condition
D68.9 is a billable ICD-10-CM diagnosis code for coagulation defect, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 813. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 50 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Coagulation and hemorrhagic disorders.
D68.9 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 48 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 48, ESRD (V21) category 48, and ESRD (V24) category 48 for payment year 2026.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
D68.9 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.
Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abnormal uterine bleeding due to coagulopathy
- Bleeds easily
- Blood coagulation disorder
- Blood coagulation disorder complicating childbirth
- Blood coagulation disorder complicating pregnancy
- Blood coagulation disorder, categorized by value of screening test
- Blood does not clot properly
- Coagulation factor deficiency syndrome
- Disorder of hemostatic system
- Excessive bleeding due to blood coagulation disorder
- Glomerular disease due to coagulation disorder
- Hereditary coagulation factor deficiency
- Menorrhagia
- Menorrhagia due to bleeding disorder
- Occlusion of microvasculature of skin caused by embolus
- Occlusion of microvasculature of skin due to coagulopathy
- Purpura of skin and/or skin-associated mucous membrane co-occurrent and due to coagulation disorder
- Tendency to bleed - finding
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Abnormal, abnormality, abnormalities See Also: Anomaly;
coagulation D68.9
coagulation (factor) See Also: Deficiency, factor; D68.9
clotting (blood) See Also: Deficiency, coagulation factor; D68.9
coagulation NOS D68.9
Disorder (of) See Also: Disease;
bleeding D68.9
coagulation (factor) See Also: Defect, coagulation; D68.9
Disturbance (s) See Also: Disease;
blood clotting (mechanism) See Also: Defect, coagulation; D68.9
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Menorrhagia
excessive uterine bleeding during menstruation.Menstruation
the periodic shedding of the endometrium and associated menstrual bleeding in the menstrual cycle of humans and primates. menstruation is due to the decline in circulating progesterone, and occurs at the late luteal phase when luteolysis of the corpus luteum takes place.
Patient EducationClinical
Bleeding Disorders
Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert D68.9 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D68.9Overview
What is the ICD-10 code for coagulation defect, unspecified?
The ICD-10-CM code for coagulation defect, unspecified is D68.9 (sometimes written as D689). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is D68.9 (Other coagulation defects) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report coagulation defect, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does D68.9 group to?
When coagulation defect, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 813 (coagulation Disorders), which carries a relative weight of 1.5253. Higher weights mean higher Medicare reimbursement.
Is D68.9 a CC or MCC?
CMS lists D68.9 as a CC (complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 50 closely related codes in its exclusion list.
What is the ICD-9 equivalent of D68.9?
Under the General Equivalence Mappings, coagulation defect, unspecified converts to ICD-9-CM 286.9 (coagulat defect NEC/NOS). The mapping is approximate, so confirm the match fits the documentation.
Does D68.9 risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage. D68.9 mapped to HCC 48 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 48 (Coagulation Defects and Other Specified Hematological Disorders), ESRD (V21) category 48 (Coagulation Defects and Other Specified Hematological Disorders), and ESRD (V24) category 48 (Coagulation Defects and Other Specified Hematological Disorders).
