D65 Disseminated intravascular coagulation [defibrination syndrome]

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• 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

Excludes1 (never code together)

• disseminated intravascular coagulation (complicating):
• abortion or ectopic or molar pregnancy (O00-O07, O08.1)
• in newborn (P60)
• pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

Code also

• , if applicable, associated condition

Applies from D65 Disseminated intravascular coagulation [defibrination syndrome]

Applicable to

• 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

Excludes1 (never code together)

• disseminated intravascular coagulation (complicating):
• abortion or ectopic or molar pregnancy (O00-O07, O08.1)
• in newborn (P60)
• pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

Code also

• , if applicable, associated condition

Risk adjustment (HCC)

• CMS-HCC V22: HCC 48 — Coagulation Defects and Other Specified Hematological Disorders
• ESRD V24: HCC 48

MS-DRG index

Defines the logic of DRG(s) 791 in MDC 15.

Approximate ICD-9-CM (GEMs)

• 286.6 Defibrination syndrome

Code annotations containing back-references to D65

Back-references to D65

• Type 1 Excludes: D68.6 Other thrombophilia ("diffuse or disseminated intravascular coagulation [DIC] (D65)")
• Type 1 Excludes: D69 Purpura and other hemorrhagic conditions ("purpura fulminans (D65)")
• Use Additional: G90.81 Serotonin syndrome ("disseminated intravascular coagulation (D65)")
• Code First: N08 Glomerular disorders in diseases classified elsewhere ("disseminated intravascular coagulation (D65)")
• Use Additional: R65.11 Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction ("disseminated intravascular coagulopathy [DIC] (D65)")
• Use Additional: R65.2 Severe sepsis ("disseminated intravascular coagulopathy [DIC] (D65)")
• Use Additional: U07.1 COVID-19 ("disseminated intravascular coagulation (D65)")

Back-references to D65

• Type 1 Excludes: D68.6 Other thrombophilia ("diffuse or disseminated intravascular coagulation [DIC] (D65)")
• Type 1 Excludes: D69 Purpura and other hemorrhagic conditions ("purpura fulminans (D65)")
• Use Additional: G90.81 Serotonin syndrome ("disseminated intravascular coagulation (D65)")
• Code First: N08 Glomerular disorders in diseases classified elsewhere ("disseminated intravascular coagulation (D65)")
• Use Additional: R65.11 Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction ("disseminated intravascular coagulopathy [DIC] (D65)")
• Use Additional: R65.2 Severe sepsis ("disseminated intravascular coagulopathy [DIC] (D65)")
• Use Additional: U07.1 COVID-19 ("disseminated intravascular coagulation (D65)")

Diagnosis Index entries for D65

• Absence (of) (organ or part) (complete or partial) › fibrinogen (congenital) › acquired
• Afibrinogenemia › acquired
• Coagulation, intravascular (diffuse) (disseminated) › COVID-19 associated
• Coagulopathy › consumption
• Coagulopathy › intravascular
• Defibrination (syndrome)
• Deficiency, deficient › fibrinogen (congenital) (hereditary) › acquired
• Disorder (of) › glomerular (in) › disseminated intravascular coagulation
• Fibrinogenopenia › acquired
• Fibrinolysis (hemorrhagic) (acquired)
• Glomerulonephritis › in (due to) › defibrination syndrome
• Glomerulonephritis › in (due to) › disseminated intravascular coagulation
• Hypofibrinogenemia › acquired
• Proteolysis, pathologic
• Purpura › fulminans, fulminous
• Purpura › gangrenous
• Syndrome › DIC (diffuse or disseminated intravascular coagulopathy)
• Syndrome › ICF (intravascular coagulation-fibrinolysis)
• Syndrome › intravascular coagulation-fibrinolysis (ICF)
• Syndrome › IVC (intravascular coagulopathy)

Nearby codes

• D65 Disseminated intravascular coagulation [defibrination syndrome] (this code)