Non-Billable / Non-Specific Code
ICD-10-CM D68.5 is the diagnosis code for Primary thrombophilia. This code falls under the section "Coagulation defects, purpura and other hemorrhagic conditions" within Chapter 3 — Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as D68.5. They are mutually exclusive:
Understanding where D68.5 sits in the ICD-10-CM classification helps ensure proper coding:
No, D68.5 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
D68.5 is the ICD-10-CM diagnosis code for "Primary thrombophilia". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of D68.5 is D68 ("Other coagulation defects"). D68.5 provides a more specific classification within this category.
D68.5 is located in Section D65-D69 — "Coagulation defects, purpura and other hemorrhagic conditions" within Chapter 3 of the ICD-10-CM Tabular List.
D68.5 has 3 sub-code(s) that provide more specific detail: D68.51, D68.52, D68.59.
Use D68.5 when the patients documented diagnosis matches "Primary thrombophilia" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Primary thrombophilia is D68.5.
No, D68.5 is non-billable. Use a more specific sub-code for primary diagnosis billing.
D68.5 is in Chapter 3 of the ICD-10-CM Tabular List.
Type 1 Excludes for D68.5 include: antiphospholipid syndrome (D68.61); lupus anticoagulant (D68.62); secondary activated protein C resistance (D68.69) and more.
Yes, D68.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.