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D68.69

Billable

Other thrombophilia

HCC Category Mapping

V24HCC 48Coagulation Defects and Other Specified Hematological Disorders
0.209
ESRDHCC 48Coagulation Defects and Other Specified Hematological Disorders
0.000

What This Code Means

Other autoimmune or acquired conditions affecting blood clotting that increase clot formation risk, not classified elsewhere.

Coding Tips

  • Use this code for thrombophilias secondary to autoimmune conditions or other acquired causes not specifically listed
  • Document the underlying autoimmune condition (e.g., SLE, antiphospholipid syndrome variants) for complete coding

Clinical Significance

Other thrombophilia captures acquired or secondary thrombophilic states not classified elsewhere, including hyperhomocysteinemia-associated thrombophilia, nephrotic syndrome-related hypercoagulability, malignancy-associated thrombophilia, and elevated factor VIII levels associated with thrombotic risk. These conditions represent a heterogeneous group of prothrombotic states requiring individualized management.

Documentation Requirements

  • Document the specific underlying thrombophilic condition, laboratory evidence supporting the diagnosis (homocysteine levels, factor VIII levels, coagulation studies), personal thrombotic history, and current treatment or prophylaxis strategy.
  • Record the underlying cause if secondary (malignancy, nephrotic syndrome).

Code Also

  • , if applicable, associated condition

Commonly Confused Codes

Code Hierarchy

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