D65

Disseminated intravascular coagulation [defibrination syndrome]

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC ESRD V24

HCC48

Coagulation Defects and Other Specified Hematological Disorders

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · D65
Excludes 1

disseminated intravascular coagulation (complicating): in newborn (P60) pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

Excludes 2

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

Code also

, if applicable, associated condition

Synonyms

Afibrinogenemia, acquired Consumption coagulopathy COVID-19 associated diffuse or disseminated intravascular coagulopathy Diffuse or disseminated intravascular coagulation [DIC] Fibrinolytic hemorrhage, acquired Fibrinolytic purpura Purpura fulminans

Inherited from chapter 3Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Excludes 2

autoimmune disease (systemic) NOS (M35.9) certain conditions originating in the perinatal period (P00-P96) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) human immunodeficiency virus [HIV] disease (B20) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Official Guidelines for D65

FY 2026 ›
I.C.3Chapter-specific guidanceChapter 3: Disease of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)

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