D68.5 vs R76.0
D68.5 (Primary thrombophilia) compared with R76.0 (Raised antibody titer), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. D68.5 carries an Excludes1 note covering R76.0: “systemic lupus erythematosus [SLE] inhibitor finding without diagnosis (R76.0)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. R76.0 carries an Excludes2 note covering D68.5: “coagulation hemorrhagic disorders (D65-D68)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| D68.5Primary thrombophilia | R76.0Raised antibody titer | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Primary thrombophilia is a non-billable ICD-10-CM category code (D68.5). | Raised antibody titer is a billable ICD-10-CM diagnosis code (R76.0). |
| Includes | Primary hypercoagulable states | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources