2027 ICD-10-CM Diagnosis Code D69.0Allergic purpura

ICD-10-CM Codes›D50–D89›D65-D69›D69

ICD-10-CM D69.0
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

D69.0 is a billable ICD-10-CM diagnosis code for allergic purpura. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 813. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 51 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Coagulation and hemorrhagic disorders and Vasculitis.

D69.0 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 48 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 48, ESRD (V21) category 48, and ESRD (V24) category 48 for payment year 2027.

Code Identity

ICD-10-CM Code
D69.0
Billable Status
Yes — Valid for Submission
Code Describes
Allergic purpura
Short Description
Allergic purpura
Same as the full description in the CMS dataset.
Parent Code
D69
Purpura and other hemorrhagic conditions

Code Classification

ChapterD50–D89Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
SectionD65-D69Coagulation defects, purpura and other hemorrhagic conditions
CategoryD69Purpura and other hemorrhagic conditions
This CodeD69.0Allergic purpura

Medicare Risk Adjustment (HCC)Billing

D69.0 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 48
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 48 · ESRD (V21): HCC 48 · ESRD (V24): HCC 48
ESRD V21 weights: 0.059 dialysis, 0.173–0.234 functioning graft · ESRD V24 weights: 0.063 dialysis, 0.192–0.358 functioning graft
Part D (RxHCC)
Not mapped
D69.0 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abdominal pain due to immunoglobulin A vasculitis
  • Acute hemorrhagic edema of childhood
  • Arthralgia due to immunoglobulin A vasculitis
  • Arthritis due to immunoglobulin A vasculitis
  • Colitis due to IgA vasculitis
  • Disorder of lung due to immunoglobulin A vasculitis
  • Duodenal ulcer due to IgA vasculitis
  • Duodenal ulcer due to vasculitis
  • Duodenitis due to immunoglobulin A vasculitis
  • Duodenitis due to vasculitis
  • Gastric ulcer due to vasculitis
  • Glomerulonephritis due to immunoglobulin A vasculitis
  • Hypersensitivity disorder mediated by immune complex
  • Immunoglobulin A vasculitis
  • Infection-associated purpura
  • Lung disorder due to autoimmune disorder
  • Nephritis due to immunoglobulin A vasculitis
  • Noninfectious enteritis of intestine due to immunoglobulin A vasculitis
  • Postinfective immunoglobulin A vasculitis
  • Ulcer of intestine due to immunoglobulin A vasculitis
  • Ulcer of stomach due to immunoglobulin A vasculitis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to D69.0: its own notes plus those printed at D69 and Chapter 3. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Allergic vasculitis
  • Nonthrombocytopenic hemorrhagic purpura
  • Nonthrombocytopenic idiopathic purpura
  • Purpura anaphylactoid
  • Purpura Henoch(-Schönlein)
  • Purpura rheumatica
  • Vascular purpura

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

On D69.0 itself
  • thrombocytopenic hemorrhagic purpura (D69.3)
From D69 Purpura and other hemorrhagic conditions applies to 13 codes
  • 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)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 3 (D50-D89) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism applies to 324 codes
  • autoimmune disease (systemic) NOS (M35.9)
  • certain conditions originating in the perinatal period (P00-P96)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • human immunodeficiency virus [HIV] disease (B20)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name D69.0, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming D69.0: they are not reported together with it, unless the two conditions are unrelated.

  • L95 Vasculitis limited to skin, not elsewhere classified
    Henoch(-Schönlein) purpura (D69.0)
  • R23.3 Spontaneous ecchymoses
    purpura (D69.-) names D69.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming D69.0: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block R70-R79 Abnormal findings on examination of blood, without diagnosis
    abnormalities of platelets and thrombocytes (D69.-) names D69.-, which includes this code

Code First 1

These codes say to code first a condition named in the note, and D69.0 is one of the conditions named.

  • M36.4 Arthropathy in hypersensitivity reactions classified elsewhere
    Henoch (-Schönlein) purpura (D69.0)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR BLD006
Coagulation and hemorrhagic disorders
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR CIR037
Vasculitis
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • IgA Vasculitis

    a systemic non-thrombocytopenic purpura caused by hypersensitivity vasculitis and deposition of iga-containing immune complexes within the blood vessels throughout the body, including those in the kidney (kidney glomerulus). clinical symptoms include urticaria; erythema; arthritis; gastrointestinal hemorrhage; and renal involvement. most cases are seen in children after acute upper respiratory infections.

Patient EducationClinical

Allergy

An allergy is a reaction by your immune system to something that does not bother most other people. People who have allergies often are sensitive to more than one thing. Substances that often cause reactions are:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert D69.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
287.0 Allergic purpura
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About D69.0Overview

What is the ICD-10 code for allergic purpura?

The ICD-10-CM code for allergic purpura is D69.0 (sometimes written as D690). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is D69.0 (Purpura and other hemorrhagic conditions) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report allergic purpura on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does D69.0 group to?

When allergic purpura is the principal diagnosis on an inpatient stay, it groups to MS-DRG 813 (coagulation Disorders), which carries a relative weight of 1.5279. Higher weights mean higher Medicare reimbursement.

Is D69.0 a CC or MCC?

CMS lists D69.0 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 51 closely related codes in its exclusion list.

Can D69.0 be reported with D69.3?

Not as a rule. The Excludes1 note on D69.0 lists "thrombocytopenic hemorrhagic purpura (D69.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

Does D69.0 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. D69.0 mapped to HCC 48 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 48 (Coagulation Defects and Other Specified Hematological Disorders), ESRD (V21) category 48 (Coagulation Defects and Other Specified Hematological Disorders), and ESRD (V24) category 48 (Coagulation Defects and Other Specified Hematological Disorders).