D68.69: Other thrombophilia
D68.69 is a billable, specific ICD-10-CM code for other thrombophilia. It is valid for submission on a claim.
Check D68.69 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, associated condition
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- COVID-19 associated hypercoagulability
- Hypercoagulable states NEC
- Secondary hypercoagulable state NOS
Excludes1 inherited from the categories above D68.69
A category’s note binds every code beneath it.
Written on D68.6: Other thrombophilia
Excludes2 inherited from the categories above D68.69
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with D68.69
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D68.69 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56464Billing and Coding: Flow Cytometry
- A57594Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
Alphabetic index entries that lead here
- Hypercoagulable›secondary
- Hypercoagulable›specified NEC
- Thrombophilia›secondary NEC
- Thrombophilia›specified NEC
Code history
Unchanged in every release from FY2024 to FY2027.