D69.5 ICD-10-CM Code: Secondary thrombocytopenia
D69.5 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
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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)
D69.5
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceSecondary thrombocytopenia
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for D69.5. Check the code and parent instructions in the Code Book.
Excludes 2
Official- autoimmune disease (systemic) NOS (M35.9)Inherited from D50-D89
- certain conditions originating in the perinatal period (P00-P96)Inherited from D50-D89
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from D50-D89
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Inherited from D50-D89
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from D50-D89
- human immunodeficiency virus [HIV] disease (B20)Inherited from D50-D89
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from D50-D89
- neoplasms (C00-D49)Inherited from D50-D89
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from D50-D89
Related Codes
Includes
OfficialNo Includes notes are included in this display for D69.5. Check the code and parent instructions in the Code Book.
Excludes 1
Official- heparin induced thrombocytopenia (HIT) (D75.82-)
- transient thrombocytopenia of newborn (P61.0)
- benign hypergammaglobulinemic purpura (D89.0)Inherited from D69
- cryoglobulinemic purpura (D89.1)Inherited from D69
- essential (hemorrhagic) thrombocythemia (D47.3)Inherited from D69
- hemorrhagic thrombocythemia (D47.3)Inherited from D69
- purpura fulminans (D65)Inherited from D69
- thrombotic thrombocytopenic purpura (M31.19)Inherited from D69
- Waldenström hypergammaglobulinemic purpura (D89.0)Inherited from D69
Code First
OfficialNo Code First sequencing instructions are included in this display for D69.5. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for D69.5. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for D69.5. Check the code and parent instructions in the Code Book.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- D69.5
- Description
- Secondary thrombocytopenia
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
D69.5 is the ICD-10-CM diagnosis code for secondary thrombocytopenia. D69.5 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 D69.5 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D69.5 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

