2027 ICD-10-CM Diagnosis Code D69.9Hemorrhagic condition, unspecified
ICD-10-CM Codes›D50–D89›D65-D69›D69
- Billable — Valid for Submission
- Chronic Condition
D69.9 is a billable ICD-10-CM diagnosis code for hemorrhagic condition, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 813. Coders also document this condition as bleeding diathesis due to collagen receptor defect. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Coagulation and hemorrhagic disorders.
D69.9 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
Code Classification
Medicare Risk Adjustment (HCC)Billing
D69.9 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.
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.
- Bleeding diathesis due to collagen receptor defect
- Familial hemorrhagic diathesis
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to D69.9: 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.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
- 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 D69.9, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming D69.9: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 1
These codes carry an Excludes2 note naming D69.9: 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 diagnosisabnormalities of platelets and thrombocytes (D69.-) names D69.-, which includes this code
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
bleeding (familial) D69.9
hemorrhagic (familial) D69.9
Disease, diseased See Also: Syndrome;
hemorrhagic D69.9
Disorder (of) See Also: Disease;
hemorrhagic NEC D69.9
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Bleeding Disorders
Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert D69.9 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D69.9Overview
What is the ICD-10 code for hemorrhagic condition, unspecified?
The ICD-10-CM code for hemorrhagic condition, unspecified is D69.9 (sometimes written as D699). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is D69.9 (Purpura and other hemorrhagic conditions) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hemorrhagic condition, unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does D69.9 group to?
When hemorrhagic condition, unspecified 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.
Can D69.9 be reported with D89.0?
Not as a rule. The Excludes1 note at D69, which applies to D69.9, lists "benign hypergammaglobulinemic purpura (D89.0)". 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).
What is the ICD-9 equivalent of D69.9?
Under the General Equivalence Mappings, hemorrhagic condition, unspecified converts to ICD-9-CM 287.9 (hemorrhagic cond NOS). The mapping is a direct match.
Does D69.9 risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage. D69.9 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).
