D69.2

Billable

Other nonthrombocytopenic purpura

HCC Category Mapping

V24HCC 48 — Coagulation Defects and Other Specified Hematological Disorders

0.209

ESRDHCC 48 — Coagulation Defects and Other Specified Hematological Disorders

0.000

What This Code Means

Purpura (purple bruising) that occurs without low platelet counts, often caused by blood vessel or immune system issues.

Coding Tips

•Confirm platelet count is normal to differentiate from thrombocytopenic purpura
•Document the underlying cause if identified (e.g., Henoch-Schönlein purpura, drug-induced)

Clinical Significance

Other nonthrombocytopenic purpura encompasses purpuric conditions occurring with normal platelet counts from non-allergic causes, including senile (actinic) purpura in elderly patients, steroid purpura, and mechanical purpura. Senile purpura is the most common form, caused by age-related dermal atrophy and capillary fragility, particularly on sun-exposed areas of the forearms.

Documentation Requirements

✓Document the distribution and characteristics of purpuric lesions, confirmation of normal platelet count, absence of coagulation abnormalities, and suspected etiology (aging, corticosteroid use, vitamin C deficiency/scurvy, amyloidosis).
✓Record any contributing medications and whether further workup is indicated.

Commonly Confused Codes

D69.0 (Allergic purpura) — IgA-mediated vasculitis with specific systemic features D69.3 (Immune thrombocytopenic purpura) — thrombocytopenic, not nonthrombocytopenic E54 (Ascorbic acid deficiency/Scurvy) — vitamin C deficiency causing purpura should be coded to the underlying deficiency.

Code Hierarchy

└D69Purpura and other hemorrhagic conditions └D69.2Other nonthrombocytopenic purpura

└D69.2Other nonthrombocytopenic purpura