D65 vs O46.0
D65 (Disseminated intravascular coagulation [defibrination syndrome]) compared with O46.0 (Antepartum hemorrhage with coagulation defect), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. D65 carries an Excludes1 note covering O46.0: “pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| D65Disseminated intravascular coagulation [defibrination syndrome] | O46.0Antepartum hemorrhage with coagulation defect | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Disseminated intravascular coagulation [defibrination syndrome] is a billable ICD-10-CM diagnosis code (D65). | Antepartum hemorrhage with coagulation defect is a non-billable ICD-10-CM category code (O46.0). |
| Includes | Afibrinogenemia, acquired Consumption coagulopathy COVID-19 associated diffuse or disseminated intravascular coagulopathy Diffuse or disseminated intravascular coagulation [DIC] | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources