D68.5

Non-billable

Primary thrombophilia

D68.5 is the ICD-10-CM code for Primary thrombophilia. It is a non-billable category code — use a more specific child code such as D68.51 for billing.

Status
Header (non-billable)
Chapter
D50-D89
Parent
D68
Subcodes
3
Edition
FY2026

D50-D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

Includes

  • Primary hypercoagulable states

Excludes1 — not coded here

  • 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)

Frequently asked questions

What is ICD-10 code D68.5?
D68.5 is the ICD-10-CM code for "Primary thrombophilia". It falls under D50-D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism.
Is D68.5 a billable code?
No — D68.5 is a non-billable header code. Use a more specific child code (such as D68.51) for billing.
What are the subcodes of D68.5?
D68.5 has 3 more specific child codes, including D68.51, D68.52, D68.59.
What is excluded from D68.5?
Excludes1 (not coded here): antiphospholipid syndrome (D68.61); lupus anticoagulant (D68.62); secondary activated protein C resistance (D68.69); secondary antiphospholipid antibody syndrome (D68.69).

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

Look up another ICD-10 code or condition

Powered by Eleplan

Free ICD-10 lookup is just the start. Eleplan keeps the whole care plan in one place.

Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, with Ellie, your AI care assistant, on top of it. Free to start.