D67 — Hereditary factor IX deficiency
D67 is a billable, specific ICD-10-CM code for hereditary factor ix deficiency. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Christmas disease
- Factor IX deficiency (with functional defect)
- Hemophilia B
- Plasma thromboplastin component [PTC] deficiency
Risk adjustment
D67 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 111 Hemophilia, Male4.639 RAF
- HCC 111 Hemophilia, Male4.639 RAF
- HCC 112 Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions0.450 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
D67 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56065Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
- A56065Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
How D67 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D67.
- Christmas disease
- Deficiency, deficient›Christmas factor
- Deficiency, deficient›PTC(plasma thromboplastin component)
- Disease, diseased›Christmas
- Hemophilia›B
- Deficiency, deficient›autoprothrombin›II
- Deficiency, deficient›factor›IX(congenital) (functional) (hereditary) (with functional defect)
- Deficiency, deficient›plasma thromboplastin›component(PTC)
- Deficiency, deficient›anti-hemophilic›factor›B
Questions about D67
- Is D67 a billable ICD-10-CM code?
- Yes. D67 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D67 sit in the tabular list?
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Coagulation defects, purpura and other hemorrhagic conditions (D65-D69).