D68.312 Antiphospholipid antibody with hemorrhagic disorder

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Lupus anticoagulant (LAC) with hemorrhagic disorder
• Systemic lupus erythematosus [SLE] inhibitor with hemorrhagic disorder

Excludes1 (never code together)

• antiphospholipid antibody, finding without diagnosis (R76.0)
• lupus anticoagulant (LAC) finding without diagnosis (R76.0)
• systemic lupus erythematosus [SLE] inhibitor finding without diagnosis (R76.0)

Excludes2 (not included here)

• antiphospholipid antibody syndrome (D68.61)
• antiphospholipid antibody with hypercoagulable state (D68.61)
• lupus anticoagulant (LAC) with hypercoagulable state (D68.62)
• systemic lupus erythematosus [SLE] inhibitor with hypercoagulable state (D68.62)

Applies from D68 Other coagulation defects

Excludes1 (never code together)

• abnormal coagulation profile NOS (R79.1)

Excludes2 (not included here)

• 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)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 48 — Coagulation Defects and Other Specified Hematological Disorders
• ESRD V24: HCC 48

MS-DRG index

Defines the logic of DRG(s) 814-816 in MDC 16.

Approximate ICD-9-CM (GEMs)

• 286.53 Antiphospholipid antibody with hemorrhagic disorder

Code annotations containing back-references to D68.312

Back-references to D68.312

• Type 1 Excludes: D68.5 Primary thrombophilia ("systemic lupus erythematosus [SLE] inhibitor with hemorrhagic disorder (D68.312)")
• Type 2 Excludes: D68.61 Antiphospholipid syndrome ("anti-phospholipid antibody with hemorrhagic disorder (D68.312)")
• Type 2 Excludes: D68.62 Lupus anticoagulant syndrome ("lupus anticoagulant (LAC) with hemorrhagic disorder (D68.312)")

Back-references to D68

• Type 1 Excludes: R79.1 Abnormal coagulation profile ("coagulation defects (D68.-)")

Diagnosis Index entries for D68.312

• Antibody › anticardiolipin › with › hemorrhagic disorder
• Antibody › antiphosphatidylglycerol › with › hemorrhagic disorder
• Antibody › antiphosphatidylinositol › with › hemorrhagic disorder
• Antibody › antiphosphatidylserine › with › hemorrhagic disorder
• Antibody › antiphospholipid › with › hemorrhagic disorder
• Antiphospholipid › antibody › with hemorrhagic disorder
• Lupus › anticoagulant › with › hemorrhagic disorder
• Lupus › erythematosus (discoid) (local) › systemic › inhibitor (presence of) › with › hemorrhagic disorder

Nearby codes

• D68.1 Hereditary factor XI deficiency
• D68.2 Hereditary deficiency of other clotting factors
• D68.3 Hemorrhagic disorder due to circulating anticoagulants
• D68.31 Hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors
• D68.311 Acquired hemophilia
• D68.312 Antiphospholipid antibody with hemorrhagic disorder (this code)
• D68.318 Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors
• D68.32 Hemorrhagic disorder due to extrinsic circulating anticoagulants
• D68.4 Acquired coagulation factor deficiency
• D68.5 Primary thrombophilia
• D68.51 Activated protein C resistance