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D69

D69Purpura and other hemorrhagic conditions

Non-billable headerICD-10-CM

D69 is a non-billable header ICD-10-CM code for purpura and other hemorrhagic conditions. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • benign hypergammaglobulinemic purpura (D89.0)
  • cryoglobulinemic purpura (D89.1)
  • essential (hemorrhagic) thrombocythemia (D47.3)
  • hemorrhagic thrombocythemia (D47.3)
  • purpura fulminans (D65)
  • thrombotic thrombocytopenic purpura (M31.19)
  • Waldenström hypergammaglobulinemic purpura (D89.0)

Other codes that can never be billed with D69

These codes carry an Excludes1 note pointing at D69. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D69 alone.

  • L95Vasculitis limited to skin, not elsewhere classified
  • R23.3Spontaneous ecchymoses
  • D69.0Allergic purpura
  • D68.0Von Willebrand disease

Risk adjustment

D69 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead D69

9 child codes. Green means billable.

Questions about D69

Is D69 a billable ICD-10-CM code?
No. D69 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D69 sit in the tabular list?
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Coagulation defects, purpura and other hemorrhagic conditions (D65-D69).
What cannot be coded together with D69?
D69 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.