D69.8 ICD-10-CM Code: Other specified hemorrhagic conditions
HCC Buddy Code Card
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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)
D69.8
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther specified hemorrhagic conditions
Other rare bleeding or clotting disorders not specifically classified elsewhere.
Buddy Insight
Other specified hemorrhagic conditions captures bleeding disorders not classified elsewhere in the D65-D69 range, including conditions such as capillary fragility, vascular purpura, and other specified hemorrhagic states.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
MappedHCC 48
RAF 0.192
ACA/HHS
00
RAF 0
ESRD/PACE
MappedHCC 48
RAF 0.0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Capillary fragility (hereditary)
- Vascular pseudohemophilia
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for D69.8 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D69.8 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
OfficialICD-10-CM does not list Code First sequencing instructions for D69.8 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for D69.8 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for D69.8 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
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.
Is D69.8 an HCC code?
Yes. D69.8 maps to Coagulation Defects and Other Specified Hematological Disorders under the V24 model but is not retained in V28.
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
Work D69.8 in the Code Book — tabular path, V28 RAF, and MEAT checklist →
MEAT Criteria for D69.8
For D69.8to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed D69.8 during that encounter, not just copy-forwarded from a problem list.
Coder workflow notes
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What This Code Means
D69.8 is the ICD-10-CM diagnosis code for other specified hemorrhagic conditions. Other rare bleeding or clotting disorders not specifically classified elsewhere. D69.8 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).
Under the older CMS-HCC V24 model, D69.8 maps to Coagulation Defects and Other Specified Hematological Disorders (HCC 48) with a community, non-dual, aged base RAF weight of 0.192. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Document the specific hemorrhagic condition in detail. Because D69.8 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D69.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the specific hemorrhagic condition in detail
- •Review documentation carefully to ensure a more specific code is not available
Clinical Significance
Other specified hemorrhagic conditions captures bleeding disorders not classified elsewhere in the D65-D69 range, including conditions such as capillary fragility, vascular purpura, and other specified hemorrhagic states. This residual code should be used only when the hemorrhagic condition has been characterized but does not fit any more specific category.
Documentation Requirements
- ✓Document the specific hemorrhagic condition, clinical manifestations, relevant laboratory findings (coagulation studies, platelet count, vascular studies), and underlying cause when identified.
- ✓Record the severity of bleeding episodes and treatment approach.