D68.312 — Antiphospholipid antibody with hemorrhagic disorder
D68.312 is a billable, specific ICD-10-CM code for antiphospholipid antibody with hemorrhagic disorder. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Lupus anticoagulant (LAC) with hemorrhagic disorder
- Systemic lupus erythematosus [SLE] inhibitor with hemorrhagic disorder
Other codes that can never be billed with D68.312
These codes carry an Excludes1 note pointing at D68.312. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D68.312 alone.
- D68.5Primary thrombophilia
Risk adjustment
D68.312 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D68.312 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57954Billing and Coding: Routine Foot Care
How D68.312 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D68.312.
- Antiphospholipid›antibody›with hemorrhagic disorder
- Antibody›anticardiolipin›with›hemorrhagic disorder
- Antibody›antiphosphatidylglycerol›with›hemorrhagic disorder
- Antibody›antiphosphatidylinositol›with›hemorrhagic disorder
- Antibody›antiphosphatidylserine›with›hemorrhagic disorder
- Antibody›antiphospholipid›with›hemorrhagic disorder
- Lupus›anticoagulant›with›hemorrhagic disorder
- Lupus›erythematosus›systemic›inhibitor›with›hemorrhagic disorder
Related codes at this level
Codes that share D68.31. If D68.312 is not quite right, the correct code is usually one of these.
Questions about D68.312
- Is D68.312 a billable ICD-10-CM code?
- Yes. D68.312 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D68.312 sit in the tabular list?
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Coagulation defects, purpura and other hemorrhagic conditions (D65-D69).
- What cannot be coded together with D68.312?
- D68.312 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.