D68.4 vs P53
D68.4 (Acquired coagulation factor deficiency) compared with P53 (Hemorrhagic disease of newborn), 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. D68.4 carries an Excludes1 note covering P53: “vitamin K deficiency of newborn (P53)”
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
| D68.4Acquired coagulation factor deficiency | P53Hemorrhagic disease of newborn | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Acquired coagulation factor deficiency is a billable ICD-10-CM diagnosis code (D68.4). | Hemorrhagic disease of newborn is a billable ICD-10-CM diagnosis code (P53). |
| Includes | Deficiency of coagulation factor due to liver disease Deficiency of coagulation factor due to vitamin K deficiency | Vitamin K deficiency of newborn |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources