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.
Code 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
Other codes that can never be billed with D68.69
These codes carry an Excludes1 note pointing at D68.69. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D68.69 alone.
- D68.5Primary thrombophilia
Risk adjustment
D68.69 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
D68.69 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56464Billing and Coding: Flow Cytometry
- A57594Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
How D68.69 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 D68.69.
- Hypercoagulable›secondary
- Hypercoagulable›specified NEC
- Thrombophilia›secondary NEC
- Thrombophilia›specified NEC
Related codes at this level
Codes that share D68.6. If D68.69 is not quite right, the correct code is usually one of these.
Questions about D68.69
- Is D68.69 a billable ICD-10-CM code?
- Yes. D68.69 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D68.69 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).