ICD-10 Coding for Factor V Leiden Mutation(D68.51, D68.59)
Complete ICD-10-CM coding and documentation guide for Factor V Leiden Mutation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Factor V Leiden Mutation
D68.5-D68.6Primary Range
Other Coagulation Defects
This range includes codes for primary thrombophilia, including Factor V Leiden mutation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D68.51 | Primary thrombophilia due to Factor V Leiden mutation | Use when genetic testing confirms Factor V Leiden mutation. |
|
| D68.59 | Other primary thrombophilia | Use when thrombophilia is suspected but not confirmed as Factor V Leiden. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for Factor V Leiden mutation
Essential facts and insights about Factor V Leiden Mutation
Primary ICD-10-CM Codes for factor vomiting leiden mutation
Decision Criteria
clinical Criteria
- Genetic test confirms Factor V Leiden mutation.
documentation Criteria
- Documentation specifies heterozygous or homozygous mutation.
Applicable To
- Heterozygous Factor V Leiden mutation
- Homozygous Factor V Leiden mutation
Excludes
- Acquired thrombophilia (D68.59)
Clinical Validation Requirements
- Genetic confirmation via PCR or DNA analysis
- Activated protein C resistance test
Code-Specific Risks
- Incorrectly coding as D68.59 without genetic confirmation.
Coding Notes
- Ensure documentation specifies genetic confirmation of Factor V Leiden mutation.
D68.59 - Other primary thrombophilia
Use when thrombophilia is suspected but not confirmed as Factor V Leiden.
Applicable To
- Inherited thrombophilia not otherwise specified
Excludes
- Factor V Leiden mutation (D68.51)
Clinical Validation Requirements
- Clinical suspicion of thrombophilia without specific genetic confirmation.
Coding Notes
Ensure documentation does not specify Factor V Leiden mutation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of anticoagulants
Z79.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Factor V Leiden Mutation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D68.51.
Impact
Clinical: Potential mismanagement of patient care., Regulatory: Non-compliance with documentation standards., Financial: Incorrect billing and potential claim denials.
Mitigation Strategy
Ensure specific genetic test results are documented., Clarify any ambiguous terms with the provider.
Impact
Reimbursement: Incorrect coding may lead to improper DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Verify genetic testing results and use D68.51 if confirmed.
Impact
Risk of audit if genetic confirmation is not documented for D68.51.
Mitigation Strategy
Ensure all genetic test results are included in the patient's record.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Factor V Leiden Mutation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Factor V Leiden Mutation
Use these documentation templates to ensure complete and accurate documentation for Factor V Leiden Mutation. These templates include all required elements for proper coding and billing.
Confirmed Factor V Leiden mutation with DVT
Specialty: HematologyRequired Elements
- Genetic test results
- Current anticoagulation status
- History of thrombotic events
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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