ICD-10-CM Code D68.5

Primary thrombophilia

Version 2021 Non-Billable Code

Not Valid for Submission

D68.5 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of primary thrombophilia. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions.

ICD-10:D68.5
Short Description:Primary thrombophilia
Long Description:Primary thrombophilia

Consider the following ICD-10 codes with a higher level of specificity:

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

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D68.5:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Primary hypercoagulable states

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • 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 M31.1

Code Classification

  • Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50–D89)
    • Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)
      • Other coagulation defects (D68)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Bleeding Disorders

Also called: Clotting disorders

Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should.

Bleeding disorders can be the result of other diseases, such as severe liver disease or a lack of vitamin K. They can also be inherited. Hemophilia is an inherited bleeding disorder. Bleeding disorders can also be a side effect of medicines such as blood thinners.

Various blood tests can check for a bleeding disorder. You will also have a physical exam and history. Treatments depend on the cause. They may include medicines and transfusions of blood, platelets, or clotting factor.

  • Bleeding disorders (Medical Encyclopedia)
  • Bleeding time (Medical Encyclopedia)
  • Disseminated intravascular coagulation (DIC) (Medical Encyclopedia)
  • Partial thromboplastin time (PTT) (Medical Encyclopedia)
  • Prothrombin time (PT) (Medical Encyclopedia)

[Learn More]