ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesD68.69

D68.69

Billable

Other thrombophilia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D68.69 is a billable code used to indicate a diagnosis of other thrombophilia.

Key Diagnostic Point:

Other thrombophilia refers to a group of conditions characterized by an increased tendency to form blood clots due to various underlying factors that are not classified under more specific thrombophilia codes. These conditions can arise from genetic mutations, acquired factors, or a combination of both. Common causes include deficiencies in natural anticoagulants such as protein C, protein S, and antithrombin III, as well as the presence of antiphospholipid syndrome. Patients with other thrombophilia may experience recurrent venous thromboembolism (VTE), which can lead to serious complications such as pulmonary embolism or post-thrombotic syndrome. The diagnosis often requires a thorough clinical evaluation, including a detailed patient history, laboratory tests to assess coagulation factors, and possibly genetic testing. Management typically involves anticoagulation therapy, lifestyle modifications, and monitoring for potential complications. Accurate coding is essential for proper treatment and reimbursement, as well as for tracking the epidemiology of these conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to thrombophilia.
  • Need for comprehensive patient history and laboratory results.
  • Differentiation from other bleeding disorders and thrombocytopenia.
  • Potential for overlapping symptoms with other conditions.

Audit Risk Factors

  • Inadequate documentation of the underlying cause of thrombophilia.
  • Failure to document recurrent thromboembolic events.
  • Lack of clarity in distinguishing from other clotting disorders.
  • Insufficient follow-up documentation on treatment efficacy.

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent DVT or PE, unexplained thrombosis.

Billing Considerations

Ensure all relevant coagulation studies are documented to support diagnosis.

Internal Medicine

Documentation Requirements

Comprehensive patient history and risk factor assessment.

Common Clinical Scenarios

Management of patients with known thrombophilia and comorbid conditions.

Billing Considerations

Document any anticoagulation therapy adjustments and patient education.

Coding Guidelines

Inclusion Criteria

Use D68.69 When
  • According to ICD
  • CM guidelines, D68
  • 69 should be used when the specific type of thrombophilia is not documented
  • It is important to ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use D68.69 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with platelet count

Clinical Scenario

Used to evaluate patients with suspected thrombophilia.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists should ensure all relevant lab results are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of thrombophilia, improving the ability to track and manage these conditions. D68.69 provides a catch-all for cases that do not fit into more specific categories, ensuring that patients receive appropriate care and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of thrombophilia, improving the ability to track and manage these conditions. D68.69 provides a catch-all for cases that do not fit into more specific categories, ensuring that patients receive appropriate care and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Society of Hematology

Coding & Billing References

  • •
    American Society of Hematology

Frequently Asked Questions

What is the difference between D68.69 and other thrombophilia codes?

D68.69 is used when the specific type of thrombophilia is not documented, while other codes specify particular conditions like antiphospholipid syndrome.