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D69 ICD-10-CM Code: Purpura and other hemorrhagic conditions

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FY 2026 Apr update / Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) / Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)

D69

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Purpura and other hemorrhagic conditions

Purpura and other hemorrhagic conditions

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
D6Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)
D69Purpura and other hemorrhagic conditions

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D69 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D69 in this effective period.

Related Child Codes

Official
D69.0Allergic purpura
D69.1Qualitative platelet defects
D69.2Other nonthrombocytopenic purpura
D69.3Immune thrombocytopenic purpura
D69.4Other primary thrombocytopenia

Includes

Official

ICD-10-CM does not list Includes notes for D69 in this effective period.

Excludes 1

Official
  • benign hypergammaglobulinemic purpura (D89.0)
  • cryoglobulinemic purpura (D89.1)
  • essential (hemorrhagic) thrombocythemia (D47.3)
  • hemorrhagic thrombocythemia (D47.3)
  • purpura fulminans (D65)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D69 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D69 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D69 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

D69 is the ICD-10-CM diagnosis code for purpura and other hemorrhagic conditions. D69 sits in the ICD-10-CM chapter for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89), within the section covering coagulation defects, purpura and other hemorrhagic conditions (d65-d69).

Header codes like D69 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at D69's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • 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)

Child Codes

Code Hierarchy

D69Purpura and other hemorrhagic conditions
D69Purpura and other hemorrhagic conditions

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