ICD-10-CM category D69
Purpura and other hemorrhagic conditions: every D69 code with its CMS-HCC V28 status
D69, Purpura and other hemorrhagic conditions, holds 15 codes in the FY2026 ICD-10-CM set: 12 billable codes and 3 header codes that need a further character. 5 of them maps to a CMS-HCC V28 payment category (HCC 112) for payment year 2026. The other 7 billable codes carry no V28 HCC and do not risk-adjust.
CMS-HCC V28 categories in D69 (1)
Coefficients are the code-level reference values from the CMS V28 factor file (community, non-dual, aged), not a member's score. Hierarchy, interactions, and enrollment segment decide what a documented condition contributes.
All 15 D69 codes (FY2026)
Descriptors are the FY2026 order-file text. Header codes need a further character and cannot be reported; open any billable code for its tabular notes, MEAT guidance, and mapping detail.
| Code | Description | FY2026 | CMS-HCC V28 |
|---|---|---|---|
| D69 | Purpura and other hemorrhagic conditions | Header | Header code, not reportable |
| D69.0 | Allergic purpura | Billable | No V28 HCC |
| D69.1 | Qualitative platelet defects | Billable | HCC 112 |
| D69.2 | Other nonthrombocytopenic purpura | Billable | No V28 HCC |
| D69.3 | Immune thrombocytopenic purpura | Billable | HCC 112 |
| D69.4 | Other primary thrombocytopenia | Header | Header code, not reportable |
| D69.41 | Evans syndrome | Billable | HCC 112 |
| D69.42 | Congenital and hereditary thrombocytopenia purpura | Billable | HCC 112 |
| D69.49 | Other primary thrombocytopenia | Billable | HCC 112 |
| D69.5 | Secondary thrombocytopenia | Header | Header code, not reportable |
| D69.51 | Posttransfusion purpura | Billable | No V28 HCC |
| D69.59 | Other secondary thrombocytopenia | Billable | No V28 HCC |
| D69.6 | Thrombocytopenia, unspecified | Billable | No V28 HCC |
| D69.8 | Other specified hemorrhagic conditions | Billable | No V28 HCC |
| D69.9 | Hemorrhagic condition, unspecified | Billable | No V28 HCC |
FY2027 changes in D69 (effective October 1, 2026)
From the CMS FY2027 order and addenda files. The table above is the FY2026 set that is served today.
Frequently asked questions
How many D69 codes are there?
The D69 category (Purpura and other hemorrhagic conditions) has 15 codes in the FY2026 ICD-10-CM order file: 12 billable and 3 header codes, counting the category itself. Only a billable code can be reported on a claim.
Which D69 codes map to an HCC under CMS-HCC V28?
5 billable codes in D69 map to HCC 112 in the CMS-HCC V28 model for payment year 2026. HCC 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions) carries the most, with 5 codes. The 7 billable codes without a V28 category are marked "No V28 HCC" in the table.
Which D69 codes are not billable?
D69 itself and 2 subcategory codes are header codes that need a further character before they can be reported: D69.4 (Other primary thrombocytopenia), D69.5 (Secondary thrombocytopenia). Each one is listed in the table with the billable codes beneath it.
Source: FY2026 ICD-10-CM order file (FY 2026 Apr update) for codes, billability, and descriptors; CMS-HCC V28 PY2026 final ICD-10-CM mappings and relative factors for payment status. Table generated 2026-09-10.