D68.6 — Other thrombophilia
D68.6 is a non-billable header ICD-10-CM code for other thrombophilia. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Other hypercoagulable states
Other codes that can never be billed with D68.6
These codes carry an Excludes1 note pointing at D68.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D68.6 alone.
- D68.5Primary thrombophilia
Risk adjustment
D68.6 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.
Code to one of these instead D68.6
3 child codes. Green means billable.
Related codes at this level
Codes that share D68. If D68.6 is not quite right, the correct code is usually one of these.
- D68.0Von Willebrand disease
- D68.1Hereditary factor XI deficiency
- D68.2Hereditary deficiency of other clotting factors
- D68.3Hemorrhagic disorder due to circulating anticoagulants
- D68.4Acquired coagulation factor deficiency
- D68.5Primary thrombophilia
- D68.8Other specified coagulation defects
- D68.9Coagulation defect, unspecified
Questions about D68.6
- Is D68.6 a billable ICD-10-CM code?
- No. D68.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D68.6 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 D68.6?
- D68.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.