All ICD10 Codes

D68.5

Non-Billable
ChapterD50–D89
Ranksubcategory
Official Description

Primary thrombophilia

Use a more specific code (3 billable)
D68.51Activated protein C resistanceD68.52Prothrombin gene mutationD68.59Other primary thrombophilia
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 3: Diseases of the Blood and Blood-Forming Organs (D50-D89).

Instructional Notes

Includes
  • Primary hypercoagulable states
Excludes1(Not coded here. Use a different code.)
  • antiphospholipid syndrome (D68.61)
  • lupus anticoagulant (D68.62)
  • secondary activated protein C resistance (D68.69)
  • secondary antiphospholipid antibody syndrome (D68.69)
  • secondary lupus anticoagulant with hypercoagulable state (D68.69)
  • secondary systemic lupus erythematosus [SLE] inhibitor with hypercoagulable state (D68.69)
  • systemic lupus erythematosus [SLE] inhibitor finding without diagnosis (R76.0)
  • systemic lupus erythematosus [SLE] inhibitor with hemorrhagic disorder (D68.312)
  • thrombotic thrombocytopenic purpura (M31.19)
General instructions are available for the parent sections:
View CH3 NotesView D68 Notes

Clinical Hierarchy

BillableHas subcodes
CH3Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
D65-D69Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)
D68Other coagulation defects
D68.5Primary thrombophiliaNot billable
D68.51Activated protein C resistanceBillable
D68.52Prothrombin gene mutationBillable
D68.59Other primary thrombophiliaBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to D68.5:

categoryD68
Other coagulation defects
View context instructions
chapterCH3
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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