Purpura and other hemorrhagic conditions
In Coagulation defects, purpura and other hemorrhagic conditions (D65-D69), chapter 3: Diseases of the Blood and Blood-Forming Organs
13 billable codes under D69: 4 are a CC; 4 map to HCC 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
There are no chapter-specific rules for Chapter 3 yet, so the general rules in Section I.B apply.
All codes under D69
D69 can't be used on a claim. Pick a billable code below; grey headings group them.
- D69.0Allergic purpura
- D69.1Qualitative platelet defects
- D69.11Glanzmann thrombasthenia
- D69.19Other qualitative platelet defects
- D69.2Other nonthrombocytopenic purpura
- D69.3Immune thrombocytopenic purpura
- D69.4Other primary thrombocytopenia
- D69.41Evans syndrome
- D69.42Congenital and hereditary thrombocytopenia purpura
- D69.49Other primary thrombocytopenia
- D69.5Secondary thrombocytopenia
- D69.51Posttransfusion purpura
- D69.59Other secondary thrombocytopenia
- D69.6Thrombocytopenia, unspecified
- D69.8Other specified hemorrhagic conditions
- D69.9Hemorrhagic condition, unspecified
D69 MS-DRGs
As the principal diagnosis, the billable codes under D69 group to MS-DRG 813, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 813 Coagulation Disorders (13 of 13 codes)
- DRG 791 Prematurity with Major Problems (2 of 13 codes)
- DRG 793 Full Term Neonate with Major Problems (2 of 13 codes)
Other codes that refer to D69
Notes on these codes point to D69.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Bleeding Disorders
Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should.
Read more about bleeding disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.