D68.5
Non-billablePrimary thrombophilia
Primary thrombophilia
This is a header/category code. For billing purposes, use a more specific child code from the list below.
Coding Notes
Inclusion Terms
Alternative clinical terms for this condition
- Primary hypercoagulable states
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
- •abnormal coagulation profile NOSR79.1
- •antiphospholipid syndromeD68.61
- •lupus anticoagulantD68.62
- •secondary activated protein C resistanceD68.69
- •secondary antiphospholipid antibody syndromeD68.69
- •secondary lupus anticoagulant with hypercoagulable stateD68.69
- •secondary systemic lupus erythematosus [SLE] inhibitor with hypercoagulable stateD68.69
- •systemic lupus erythematosus [SLE] inhibitor finding without diagnosisR76.0
- •systemic lupus erythematosus [SLE] inhibitor with hemorrhagic disorderD68.312
- •thrombotic thrombocytopenic purpuraM31.19
Excludes 2
Conditions not included here, but the patient may have both
- •autoimmune disease (systemic) NOSM35.9
- •certain conditions originating in the perinatal periodP00-P96
- •complications of pregnancy, childbirth and the puerperiumO9A)O00
- •congenital malformations, deformations and chromosomal abnormalitiesQ00-Q99
- •endocrine, nutritional and metabolic diseasesE00-E88
- •human immunodeficiency virus [HIV] diseaseB20
- •injury, poisoning and certain other consequences of external causesS00-T88
- •neoplasmsC00-D49
- •symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedR00-R94
- •coagulation defects complicating abortion or ectopic or molar pregnancy,O00-O07, O08.1
- •coagulation defects complicating pregnancy, childbirth and the puerperium, , ,O45.0, O46.0, O67.0, O72.3
Child Codes (3)
Related Codes(8)
D68.0Von Willebrand disease
D68.1Hereditary factor XI deficiency
D68.2Hereditary deficiency of other clotting factors
D68.3Hemorrhagic disorder due to circulating anticoagulants
D68.4Acquired coagulation factor deficiency
D68.6Other thrombophilia
D68.8Other specified coagulation defects
D68.9Coagulation defect, unspecified
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(6)
Frequently Asked Questions
What is the ICD-10 code for primary thrombophilia?
The ICD-10-CM code for primary thrombophilia is D68.5. The full clinical description is "Primary thrombophilia". D68.5 is a non-billable header code. Use a more specific child code for billing purposes.
What does ICD-10 code D68.5 mean?
ICD-10-CM code D68.5 represents “Primary thrombophilia”. It is classified under Chapter 3: Diseases of the Blood and Blood-Forming Organs and is a non-billable header code. Use a more specific child code for billing purposes.
Is D68.5 a billable code?
No, D68.5 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 3 child codes under D68.5.
What chapter is D68.5 in?
D68.5 is in Chapter 3: Diseases of the Blood and Blood-Forming Organs (codes D50-D89).
What codes cannot be used with D68.5?
D68.5 has Excludes1 notes indicating codes that cannot be used together with it, including: abnormal coagulation profile NOS (R79.1); antiphospholipid syndrome (D68.61); lupus anticoagulant (D68.62); and 7 more.
What are the subcategories under D68.5?
D68.5 has 3 child codes, including: D68.51 (Activated protein C resistance), D68.52 (Prothrombin gene mutation), D68.59 (Other primary thrombophilia).
What are the UMLS CUIs for D68.5?
D68.5 is linked to 2 UMLS Concept Unique Identifiers: C2584620, C1260404. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
How does D68.5 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like primary thrombophilia affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of D68.5?
D68.5 maps to the ICD-11 code: 3B61.0Z (Hereditary thrombophilia, unspecified).
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.