D68.69
BillableOther thrombophilia
HCC Category Mapping
V24HCC 48 — Coagulation Defects and Other Specified Hematological Disorders
0.209ESRDHCC 48 — Coagulation Defects and Other Specified Hematological Disorders
0.000What 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
└D68Other coagulation defects└D68.6Other thrombophilia└D68.69Other thrombophilia
└D68.69Other thrombophilia