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D68.5 Non-Billable Code

Primary thrombophilia

Chapter Classification

Chapter 3 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)

Section Detail

D65-D69 Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)

Code Hierarchy

This code is a child of D68.

As a non-billable code, it requires more specific digits to be used on a medical claim.

Coding Guidelines & Notes

excludes1
  • 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)

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

  • D68.51 - Activated protein C resistance Billable
  • D68.52 - Prothrombin gene mutation Billable
  • D68.59 - Other primary thrombophilia Billable

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