D68.61 — Antiphospholipid syndrome
Is D68.61 billable?
Yes — D68.61 is billable for FY2027. D68.61 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D68.61 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D68.61 at a glance
| Code | D68.61 |
|---|---|
| Description | Antiphospholipid syndrome |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D68.61 group to?
D68.61 sits in MDC 16 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 814Reticuloendothelial and Immunity Disorders with MCCmedical
- 815Reticuloendothelial and Immunity Disorders with CCmedical
- 816Reticuloendothelial and Immunity Disorders without CC/MCCmedical
As a secondary diagnosis, D68.61 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is D68.61 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D68.61. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Anticardiolipin syndrome
- Syndrome › anticardiolipin
- Syndrome › antiphospholipid
- Antiphospholipid › antibody › syndrome
- Antibody › anticardiolipin › with › hypercoagulable state
- Antibody › antiphosphatidylglycerol › with › hypercoagulable state
- Antibody › antiphosphatidylinositol › with › hypercoagulable state
- Antibody › antiphosphatidylserine › with › hypercoagulable state
- Antibody › antiphospholipid › with › hypercoagulable state
Excludes1 — never code together
The conditions below can never be reported together with D68.61 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- anti-phospholipid antibody, finding without diagnosis (R76.0)
Excludes2 — not included here
The conditions below are not part of D68.61, but a patient may have both at the same time. When documentation supports it, D68.61 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to D68.61.
- Anticardiolipin syndrome
- Antiphospholipid antibody syndrome
Excludes1 — never code together — inherited from D68
The conditions below can never be reported together with D68.61 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- abnormal coagulation profile NOS (R79.1)
Excludes1 — never code together — inherited from D68.6
The conditions below can never be reported together with D68.61 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D68.61, but a patient may have both at the same time. When documentation supports it, D68.61 and the excluded code may both be reported.
- autoimmune disease (systemic) NOS (M35.9)
- certain conditions originating in the perinatal period (P00-P96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- human immunodeficiency virus [HIV] disease (B20)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from D68
The conditions below are not part of D68.61, but a patient may have both at the same time. When documentation supports it, D68.61 and the excluded code may both be reported.
How long has D68.61 existed?
D68.61 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.