icd 9 code for factor 5 leiden

Full Answer

How do I know if I have factor V Leiden?

In order to find out if you have factor V Leiden, a screening can be done by taking a sample of your blood to test for activated protein C resistance. A positive result may mean that you have the factor V Leiden mutation.

How do I know if I have a factor V mutation?

First, a blood sample is tested to see if your blood is resistant to activated protein C (one of the proteins that helps control factor V). If your blood is resistant to activated protein C, there is a 90-95% likelihood that you have a mutation in the factor V gene.

What is the ICD 9 code for prothrombin mutation?

As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use the following five equivalent ICD-10-CM codes, which are an approximate match to ICD-9 code 289.81. D68.52 is a billable ICD code used to specify a diagnosis of prothrombin gene mutation.

What are the ICD-9 codes for thrombophilia a?

As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use the following five equivalent ICD-10-CM codes, which are an approximate match to ICD-9 code 289.81. ICD-10 Code D68.51, Activated protein C resistance. D68.59 is a billable ICD code used to specify a diagnosis of other primary thrombophilia.

What is the diagnosis code for Factor V Leiden?

Group 1CodeDescription81241F5 (COAGULATION FACTOR V) (EG, HEREDITARY HYPERCOAGULABILITY) GENE ANALYSIS, LEIDEN VARIANT81291MTHFR (5,10-METHYLENETETRAHYDROFOLATE REDUCTASE) (EG, HEREDITARY HYPERCOAGULABILITY) GENE ANALYSIS, COMMON VARIANTS (EG, 677T, 1298C)1 more row

What ICD-10 code will cover factor V Leiden mutation?

Factor v leiden mutation (r506q) is the most common cause of apc resistance. An abnormality that refers to mutation of factor v leiden, which is a variant of human factor v. It results in thrombophilia, deep vein thrombosis, and a slightly increased risk of miscarriage.

What is the ICD-10 code for History of factor V Leiden?

2.

What is the ICD-10 code for protein S deficiency?

D53. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is factor V Leiden heterozygous?

Heterozygous means that the 2 copies of a gene are different. In your case, one of your Factor V gene codes is for normal clotting Factor V and the other Factor V gene code is for Factor V Leiden. There is more risk of a blood clot if both gene codes are for Factor V Leiden (ie in the homozygous state).

What diagnosis covers CPT 85610?

A: When physicians use a prothrombin time test (reported with CPT code 85610) to monitor patients on anticoagulant drugs, Medicare pays the entity that performed the test. Its payment for the test is based on the geographically specific laboratory test fee schedule.

What is the ICD-10 code for family history of clotting disorder?

Z83. 2 - Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | ICD-10-CM.

What ICD-10 covers PT PTT?

NCD - Partial ThromboplastinTime (PTT) (190.16)

What is Factor 5 in the blood?

Factor V (factor 5) is one of several special proteins in your blood that help it clot. They're called clotting factors. Once the bleeding stops, other proteins tell your clotting factors to break up the clot, and it goes away. Factor V Leiden makes it harder for your clots to break up.

What is a factor V deficiency?

Factor V deficiency is caused by a lack of factor V. When certain blood clotting factors are low or missing, your blood does not clot properly. Factor V deficiency is rare. It may be caused by: A defective factor V gene passed down through families (inherited)

What is protein C and S deficiency?

Congenital protein C or S deficiency is a lack of proteins C or S in the fluid part of the blood. The proteins are natural substances that help prevent blood clots.

What is the ICD-10 code for thrombophilia?

ICD-10 code D68. 59 for Other primary thrombophilia is a medical classification as listed by WHO under the range - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism .

Assay Category

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Alternative Specimen (s)

Whole blood collected in: EDTA (royal blue-top), sodium heparin (green-top), ACD solution A or B (yellow-top), or lithium heparin (green-top)

What is factor V Leiden?

If a mutation is found, then you have Factor V Leiden. This second genetic test is considered definitive. This means that approximately 100% of individuals who have the Factor V Leiden mutation will be detected by the genetic test. Since the genetic test examines the actual DNA code, it is able to distinguish heterozygotes ...

How to test for factor V?

Testing for Factor V Leiden is done with a simple blood test. There are two types of tests performed that together determine whether you have Factor V Leiden. 1 First, a blood sample is tested to see if your blood is resistant to activated protein C (one of the proteins that helps control factor V). 2 If your blood is resistant to activated protein C, there is a 90-95% likelihood that you have a mutation in the factor V gene. 3 Second, a genetic test is usually done to confirm the results of the activated protein C test. In this test, the DNA is isolated or separated from blood cells and your factor V gene is examined to see if there is a mutation in your DNA code. If a mutation is found, then you have Factor V Leiden. 4 This second genetic test is considered definitive. This means that approximately 100% of individuals who have the Factor V Leiden mutation will be detected by the genetic test. 5 Since the genetic test examines the actual DNA code, it is able to distinguish heterozygotes (individuals with the mutation in one of the two genes) from homozygotes (individuals with mutations in both of the genes). 6 Sometimes the genetic test is ordered first without ever doing the resistance to activated protein C testing.

Does 23andme DNA test for factor V?

Sometimes the genetic test is ordered first without ever doing the resistance to activated protein C testing. Companies like 23andme and others are now offering DNA genetic testing for Factor V Leiden as part of their product line.

How to find out if you have factor V?

In order to find out if you have factor V Leiden, a screening can be done by taking a sample of your blood to test for activated protein C resistance. A positive result may mean that you have the factor V Leiden mutation.

What is factor V?

In the human body, factor V is a protein that is necessary for proper blood clotting. Some people have a genetic mutation of the protein which is called factor V Leiden. This is a disorder that can cause a condition known as thrombophilia. If you have the factor V Leiden mutation, you are at greater risk of developing blood clots.

Why should you be tested for factor V?

Because deep vein thrombosis and pulmonary embolism are serious enough to be life threatening, if you suspect that you have the genetic mutation of factor V, factor V Leiden, you should be tested to determine your risk factor for thrombophilia.

What insurance covers factor V?

Part A (hospital insurance) covers the cost of your Factor V Leiden screening test if your physician deems it medically necessary and orders it while you are being cared for as an inpatient or in a skilled nursing facility.

Where does factor V clotting occur?

This abnormal clotting most commonly occurs in either the deep veins of the legs (deep vein thrombosis), or in the lungs (pulmonary embolism). Not everyone who has factor V Leiden experiences abnormal clotting, but there is a higher risk for those that do.

Is factor V inherited?

Statistics indicate that factor V Leiden is the most common inherited form of thrombophilia in the United States and Europe among Caucasians. Fortunately, Medicare recipients have coverage for the necessary blood test needed to screen for this condition.

Is factor V Leiden hereditary?

Because factor V Leiden is a hereditary condition, you may have an increased chance of having it if you have a relative with factor V Leiden. It is also more common for Caucasians of European descent to have this factor V mutation. In order to find out if you have factor V Leiden, a screening can be done by taking a sample ...

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim.

Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for MolDX: Genetic Testing for Hypoercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) L36400.

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